Medical Affairs.
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 Elutia.
Corporate Headquarters
20 Firstfield Road
Gaithersburg, Maryland 20878
Phone: 240-247-1170
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