PREVENTIVE MAINTENANCE
UNIT SERIAL NUMBER
DEALER
DATE
MAINTENANCE PERFORMED
Completing this form:
"DATE"-Date Service is performed
FLUIDOTHERAPY MAINTENANCE RECORD
UNIT MODEL NUMBER
PHONE
TECH INITIALS
"MAINTENANCE PERFORMED"- Quarterly, Bi-Annual or Annual
DATE
MAINTENANCE PERFORMED
31 31
Fluidotherapy® - Dry Heat Therapy
DATE PLACED IN SERVICE
CONTACT
TECH INITIALS
"TECH INITIALS"- Certified Tech's Initials