Thank you for using the Sirtex Online Order Form. Please complete the fields below to place your order. After your order has been processed, you will receive an order confirmation from Customer Service. If you have any questions, please email email@example.com or call us on one of our numbers listed on our Contact page.
Revision #7 (CR2549) 12 September 2019
CAUTION: Federal law restricts this device to sale by or on the order of a physician or licensed healthcare practitioner.