Please complete this form to the best of your ability. Once completed, the In-Service Request team will attempt to make contact with the sales rep or the medical practice office contact. The In-Service Request team will contact you with an update as soon as possible and within 48 business hours. In-Service Request does not guarantee that it will be able to make contact with your sales rep, and it does does guarantee that an in-service will be scheduled or arranged. In-Service Request is not liable in the event it cannot facilitate a connection between the healthcare provider's office and the sales rep.