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3N3A0389

BIOFIRE^® System LIS/POCT Connection Request Form

Are you ready to interface your BioFire System? Please fill out this form to take the next step toward faster results. Our team is ready to assist you with the implementation process.

Name of Institution*
Institution Street Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
First Name*
Last Name*
Job Title
Phone*
Email*
LIS/POCT Vendor*
Which BIOFIRE System do you want to interface?*
- BIOFIRE® FILMARRAY® TORCH System
- BIOFIRE® FILMARRAY® 2.0 System
- BIOFIRE® SPOTFIRE® System
Please provide serial number:
Which BIOFIRE® FILMARRAY® Panels are you currently using or would like to use? Please select all that apply:
- BIOFIRE® Respiratory 2.1 Panel with SARS-CoV-2
- BIOFIRE® FILMARRAY® Blood Culture Identification Panel
- BIOFIRE® Blood Culture Identification Panel 2
- BIOFIRE® FILMARRAY® Gastrointestinal Panel
- BIOFIRE® FILMARRAY® Meningitis/Encephalitis Panel
- BIOFIRE® FILMARRAY® Pneumonia Panel
- BIOFIRE® FILMARRAY® Pneumonia plus Panel
Which BIOFIRE® SPOTFIRE® Panels are you currently using or would like to use? Please select all that apply:
- BIOFIRE® SPOTFIRE® Respiratory Panel
- BIOFIRE® SPOTFIRE® Respiratory Panel Mini
Anticipated "Go Live" Date
MM slash DD slash YYYY
Additional Comments:
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You can download C. difficile Select pouch module feature and Installation Guide below.

For assistance please contact our Technical Support team by email at support@biofiredx.com or phone at 801-736-6354 option 5 or toll free at 1-800-735-6544.