3131
PREVENTIVE MAINTENANCE
FLUIDOTHERAPY MAINTENANCE RECORD
UNIT SERIAL NUMBER UNIT MODEL NUMBER DATE PLACED IN SERVICE
DEALER PHONE CONTACT
Completing this form:
“DATE”-Date Service is performed “MAINTENANCE PERFORMED”- Quarterly, Bi-Annual or Annual “TECH INITIALS”- Certified Tech’s Initials
DATE MAINTENANCE PERFORMED TECH INITIALS DATE MAINTENANCE PERFORMED TECH INITIALS
Fluidotherapy® - Dry Heat Therapy