Return form – DJO Pharmacy

Pharmacy name *

CF code *

Reason for return *

Other/ Comment

what are you returning? Item 1, please provide product code, description & invoice no.

what are you returning? Item 2, please provide product code, description & invoice no.

what are you returning? Item 3, please provide product code, description & invoice no.

what are you returning? Item 4, please provide product code, description & invoice no.