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New On-Line User Registration Form

Please fill out the form below and click the AGREE & SUBMIT button to start the registration process.

Your application will usually be processed within 24 hours.
Some registrations may take up to 2 working days for approval.
You WILL NOT be able to begin until you receive an email stating you've been granted access therefore,
ensure your email address has been correctly entered.

All fields must be completely filled before your registration can be processed. Please be as specific as possible.

YOUR INFORMATION

Are you a BIOLASE Employee?  
Are you a SCHEIN Employee?  
Position:  
First Name:  
Last Name:  
E-mail Address  
Retype E-mail Address:

 
Desired User Name:  
Password  
Retype Password:  
AGREEMENT OF USE: Please read this agreement carefully. Your use of this website constitutes your agreement to be bound by the following terms and conditions. Biolase Technology, Inc. ("Biolase") reserves the right to change these terms and conditions at any time, so you should read the link entitled "Terms of Use" on the login page each time you access the website. This website is a resource provided by Biolase. It is intended for use by dentists and other professionals involved in patient care, and although Biolase makes reasonable efforts to ensure that the information provided at this site are useful and current, Biolase cannot guarantee that the information, tools and data provided on the website will be error-free. By using this site, you agree to assume any and all responsibility for and risk arising from your use of and reliance upon the contents of this website. This website is not intended and should not be construed as medical advice, nor is it intended to replace sound clinical judgment in the delivery of health care services by a duly licensed professional. All medical and clinical data contained or made available in this website is intended to supplement the knowledge of dentists and other professionals involved in patient care. The absence of a warning for a given procedure, technique or suggestion contained in this website should not be construed to indicate that such procedure, technique or suggestion is safe, appropriate or effective in any given patient. This website and its contents are provided "as is." Biolase does not warrant or guarantee any of the information contained in this website, whether in on-line (electronic) or hard copy printed format, including but not limited to all warranties, express or implied, or warranties of fitness for particular purpose or merchantability, nor are any such representations implied with respect to the material set forth. Biolase takes no responsibility with respect to such information in its current state and with respect to the updating of such information. Biolase shall not be liable for incidental, indirect, consequential, special, punitive, exemplary, or other damages of any kind resulting in whole or in part, directly or indirectly, from the users use of, or reliance upon, the information contained on this website. Biolase does not assume and expressly disclaims any obligation to obtain and include information other than that provided, and any obligation to update the information provided. This website as a whole is copyrighted as a collective work, and individual works appearing on or accessible through this website may be subject to copyright protection. You agree to honor the copyrights contained in this website (including the selection, coordination and arrangement of the contents of this website) and in the works available on or through this website. In addition, trademarks and tradedress belonging to Biolase or to third parties appear on this website or are accessible through this website. The fact that Biolase has permitted you access to this website does not constitute authorization to reproduce such trademarks and trademarks for any other purpose other than viewing on this website. Biolase reserves the right to change the contents of this website or to discontinue it at any time, as well as the right to deny access to the website to any person whom Biolase has grounds to believe may be using the site for an unlawful or unauthorized purpose or in a manner that may harm Biolase, as determined by Biolase in its sole and absolute discretion. This agreement will be governed by the laws of the United States of America and of the State of California, without regard to choice of law principles.
   

All information will be sent through a SECURED CONNECTION and to a SECURED SERVER.
CONFIDENTIALITY NOTICE: BIOLASE respects your privacy. All information you provide using this response form will ONLY be used by BIOLASE in order to process the information you've submitted. Your personal information will NOT be sold, rented, bartered, or otherwise transferred to other people who would send you unsolicited mail.


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