Site Search

SPECTRALIS® Anterior Segment Module – Shipping Form

Heidelberg Engineering, Inc. is pleased to inform you of the US market release of the SPECTRALIS Anterior Segment Module (ASM). The ASM enables your SPECTRALIS system to capture and view anterior segment OCT images including images of the cornea, anterior chamber angles, sclera, and other structures.

The information in the form below is needed in order to initiate shipment of your ASM; please fill out the form completely. Should you have additional questions, please contact Customer Service at: (800) 931-2230, Option 4.

ASM SHIPPING REQUEST FORM

Send the Anterior Segment Module to the following address:

Customer Account number:*
?
The customer account number can be found on the bottom of the SPECTRALIS anterior segment module announcement letter. Alternatively, you can call 1-800-931-2230 option 0.
SPECTRALIS camera serial number:*
?
The camera S/N can be found on the bottom of the SPECTRALIS anterior segment module announcement letter. The number begins with SPEC-_____ followed by a 5 digit number. Alternatively, it can be located beneath the SPECTRALIS camera head.
Practice/Clinic Name*
Address*
City*
State*
Zip*
First Name*
Last Name*
Title*
Email*
Phone Number*
1