Acknowledgement of Advisory Notice Receipt Form – BCID Panel

*All Fields are Required

Name of Institution*
Job Title*
First Name*
Last Name*
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I have read and acknowledged the receipt of the Medical Device Correction Notice regarding the increased risk of false-positive results for Acinetobacter calcoaceticus-baumannii complex when using the BioFire BCID2 Panel.*
- Yes
- No
I have implemented the actions as indicated in the attached Notices.*
- Yes
- No
Electronic Signature*
Date*