Book A Lab

*required fields

Contact Info

First Name*
Last Name*
Phone Number*


Zip Code

Lab Info

Start Time*
Number of Stations*
Number of Physicians*

Number of Industry Representatives:
Time Period Required

 ½ Day (< 4 Hours) Full Day (> 4 Hours)>

 Providence Boston

Equipment Needs

Conference Room:  Yes No

Suction:  Yes No
Bovie:  Yes No
C-Arm + Tech:
Mini C-Arm:
Surgical Tech:
Radiolucent OR Table:
Orthopedic Drill/Saw: | Saw Blade Size:
Small Drill/Saw:

Arthroscopy Tower: | Size of Scopes:

Lead Aprons
Small Medium Large
Specimen Holder/Mount(s):

 Yes No

Please list all equipment and instruments you will be bringing/shipping

Please list all equipment and instruments you would like us to arrange for you

Specimen Needs

Shoulder  Yes
Knee  Yes
Forearm (elbow/wrist)  Yes
Torso  Yes
Cervical Spine  Yes
Wrist/Hand  Yes
Foot/Ankle  Yes
Full Pelvis (Bilateral Hips)  Yes
Full Pelvis (Bilat Hips/Knees)  Yes



Audio/Visual Needs

Conference rooms include projectors and a surgical light camera that can stream video feed into the conference
rooms and auditorium. You may also record your lab or stream it via the internet.

Will you require A/V equipment?*  Yes No
If yes, please describe your A/V needs:

Welcome your guests by showing a PowerPoint presentation on our 60” monitors and/or projector screens
throughout the facility on the date of your event. (Please email us the PowerPoint presentation in advance.)

Catering Needs

Will you require meals to be catered?*  Yes No
 Breakfast Lunch Dinner Snacks
Additional Catering Notes:

How Did You Hear About Us*?

Please provide information regarding procedure to be performed*

(Please list all equipment and instruments you would like us to arrange for you):

Have feedback for us?

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