Medical information request form.
Medical Information Request Form (MIRF) is for health care professionals only.
If you are not a healthcare provider but have a question, please contact customer service.
If you would like to report an adverse event, please do so here.
Completion and submission of this MIRF is considered your electronic signature confirming this request was not solicited by any company representative of Aziyo Biologics.
12510 Prosperity Drive, Suite 370
Silver Spring, MD 20904
1100 Old Ellis Road, Suite 1200
Roswell, GA 30076
Customer Service: 877-651-2628
880 Harbour Way South, Suite 100
Richmond, CA 94804
Customer Service: 800-922-3100
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