Recallform

Dear valued Ceramir-user,

This is to inform you about Doxa Dental voluntary class III recall, due to mislabelled products. Class III is a situation in which use of, or exposure to, a violative product is not likely to cause adverse health consequences.

Please indentify your products on stock
Open file called appendix 1 to verify that your products are affected.
Please destruct or dispose affected products
Send us what you have destructed/disposed to get replacement products

Use the online form below. (Preferred)
Or you can use the printerfriendly version to the right and mail it.

appendix_1_doxa_dental_recall_affected_products_and_lots.pdf
File Size:	136 kb
File Type:	pdf

Download File

A4 - Response form step 2, product returns from end user
File Size:	207 kb
File Type:	pdf

Download File

Please fill out this form no later than 2019-12-12
Based on the provided information below we will supply you with replacement capsules.

* Indicates required field

Company name *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Distributor *

Select One *

Lot no *

Expiry date *

Units *

Select One *

Lot no *

Expiry date *

Units *

Select One *

Lot no *

Expiry date *

Units *

Confirmation *

I hereby confirm that we at have destructed/disposed the above products.

Submit

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Please fill out this form no later than 2019-12-12Based on the provided information below we will supply you with replacement capsules.

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Please fill out this form no later than 2019-12-12
Based on the provided information below we will supply you with replacement capsules.

BE THE FIRST TO KNOW. SIGN UP FOR EXCLUSIVE
EMAIL OFFERS & DISCOUNTS