Cambridge Sensors MicroDot Xtra Operations page 18

Chapter 7
BLOOD GLUCOSE MONITORING SYSTEM
®
Xtra
IN-SERVICE FORM
The Health Care professionals listed below are trained and have demonstrated
proficiency using the Microdot Xtra Blood Glucose Monitoring System.
Cambridge Sensors Representative/Qualified Trainer
Date
Health Care Professional's Name
The chart is designed for use during the initial training on the Microdot Xtra Blood Glucose System by a
Cambridge Sensors Representative, In-Service Video or Qualified Trainer.
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Cambridge Sensors USA, LLC