Installation Report XO

"*" indicates required fields

Installation report - XO unit

Dear authorized XO service person, please fill out all the fields below immediately after the unit installation.
XO product*
YYYY dash MM dash DD

Dental practitioner responsible for the XO product1

Additional dental practitioner using the XO product1

Additional dental practitioner using the XO product1

1 By sharing this information, the dental practitioner is giving XO CARE consent to get in touch via mail and/or SMS to ensure satisfaction with the XO CARE product. The dental practitioner's consent is voluntary and they can opt out anytime. To unsubscribe follow the instructions provided in the respective mail /or SMS or reach out directly to XO CARE. The contact information will be handled with utmost respect in accordance with applicable date protection laws. See XO CARE's privacy policy here

Please answer these questions – if you answer “yes” please note signs of damage on transportation documents and contact the transportation agent:

Did you observe damages on the packaging?*
Were there any damages on the supplied product?*

Please answer these questions - If you answer “yes” please describe details in the “comments” box below:

Were there any items missing?*
Did you observe any malfunction of the product?*
Did you observe any cosmetic defects?*
Did you experience any difficulties while installing the product?*
Please confirm that the following has been done*
Please confirm that the installation of this XO unit was done according to the manufacturers requirements.*
YYYY slash MM slash DD