User Registration - Aluco Guardian™ Clinical Companion

Aluco Guardian™ NPWT System

Innovation for animal health
Practice registration for clinical support, user information and product ordering:

Register with us to access our Clinical Companion App where you can order consumables, get expert help and access to guides and resources to help you get the best from your Aluco Companion™ NPWT system.
About you:

We'll use these details to set up your account.
Your first Name*
Surname*
Your Role*
Best contact number*
Ideally a mobile number. This number will only be used for delivery updates and clinical support.
Email*
example@example.com
About your practice:
Which best describes your practice type?
Which species do you typically manage?

Small Companion AnimalEquineFarmExotics (Zoo / Wildlife )Other
Practice / Business name*
If your practice is part of a group, charity or corporate please include the name here.
Address *
First Line
Town / City*
County / Region*
Postcode*
Country

Product ordering and rental options - invoicing details:

We recommend setting up your invoicing details here so that you can order consumables quickly and easily through our app. Click YES to proceed!
Add your invoicing details now for automated invoicing through our Aluco Companion App.

Yes pleaseNo thanksMaybe later!

Accounts information.

This section will help us set up your account and give you a unique practice reference number for future ordering and clinical support.
Business Name - for invoicing*
Accounts Reference.
If you have a preferred reference / practice code that is required for your invoices please include it here.
Accounts E-mail address*
Accounts Contact Name*
Accounts contact number*
In case of delivery issues.
Accounts Street Address *
Street. *
Town / City*
Region*
Postcode*
Country*

If you have any questions about hiring, purchasing or practical aspects of using NPWT please ask them here!
There's no such thing as a silly question!
If you would like to be kept up to date with our latest information, including CPD and practical tips for best use of NPWT select - YES to opt into our mailing list.

YesNo
Should be Empty:

	None	Limited	Competent	Expert	Approximate No. of Cases in the past year?
Open Wound Management
Orthopaedic surgery
Reconstructive Surgery
Oncology (post clear margin mass removal)

Aluco Guardian™ NPWT System