Gloved hands holding tray of dental instruments in autoclave

To enroll in the University of Louisville Sterilizer Monitoring Program online, please complete the form below. If you prefer to enroll by mail or fax, please contact us.

This service is available only to clients in the United States.

Current Step: Client Information

Sterilizer Monitoring Application

1 Current
Client Information
2
Sterilizer Information
3
Payment Information

Sterilizer Monitoring Application

Please enroll the following practice/business in the University of Louisville School of Dentistry Sterilizer Monitoring Program.

I understand that service will begin immediately upon receipt of payment. Payment can be in the form of a check or credit card. UofL honors Visa, MasterCard, Discover and American Express. Make checks payable to UofL Monitoring Service.

Practice/Business Name *

Contact Person *

Dentist(s)

Address *

Address 2

City *

State *

ZIP Code *

Phone *

Fax

Email *

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