Clinical Skills Lab

OB/GYN

Female Reproductive System

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Female Reproductive Model Clear plastic models with female reproductive system anatomy.
(3 available)
To reserve this item, please provide the following information.

Required fields are in bold.

Contact Person Reserving Item:
First name
Last name
Affiliation
Department
Work Phone
E-mail -- include complete address (ttess@kumc.edu)
Faculty Responsible for Item (if different than above):
First name
Last name
Department
Choose Audience & Location:

Intended Audience

  If other, please specify: 

Location for Use

  Specify location: 
Dates:

Enter the date needed

-- mm/dd/yy

Enter the return date

-- mm/dd/yy
Items to be Reserved:
If available, the following item will be reserved in your name.  To reserve additional items, add them in this box:
Note:
After you submit, you will receive a copy of this request in your e-mail.
We will confirm if the item is available in a separate e-mail to the contact person listed on this form.

  

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