S2S Request Form

This request form is for In-person and Virtual S2S requests.



Through the Surgeon-to-Surgeon (S2S) visitation program, surgeons are united with Zimmer Biomet consultants at approved visitation sites across the United States to review and observe specific surgical techniques, view live surgeries in a hospital setting and discuss implant design rationale. Surgeon Visitation is intended for HCPs who have a bona fide reason to learn about the safe and effective use of Zimmer Biomet products in a surgical environment. This would include orthopedic surgeons performing the procedure, O.R. nurses who are assisting in the surgery and P.A.s who are in the O.R. assisting with the surgery.


IMPORTANT NOTE: These requests require regular communication via email or phone with our S2S team. If there is no reply to an email or phone call to the requester within a period of two weeks, your request will be terminated and you will have to submit it again at a later date.



Surgeon-to-Surgeon Contact:

Lisa Reber

E-mail: lisa.reber@zimmerbiomet.com

M: 574-453-7759


Jessica Kalo

E-mail: jessica.kalo@zimmerbiomet.com

M: 727-602-5799


Physician Payment Sunshine Act Reporting

Any expenses related to this activity will be reported by Zimmer Biomet to the U.S. government as in-kind payment as required by the Physician Payments Sunshine Act. If you have questions about the Sunshine Act or in-kind payments reported by Zimmer Biomet, contact the S2S specialist.

 
 
 
 

TRAINING NEEDS

 
 

Please select either In-Person or a Virtual S2S option

 
 
 
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 

Please select the preferred day of the week for your educational site visit:

 

Note: This will be at you or your territories expense. A request is not a guarantee.

 

Please check: I understand that this is a request and that these dates are NOT confirmed.

 

HCP ATTENDEE INFORMATION

 
 
 
 
 
 
 
 
 
 
 
 
 

NPI Website Search: https://npiregistry.cms.hhs.gov/search. If your customer is outside of the US, please put N/A or leave blank.

 
 
 

Is the surgeon currently performing hip/knee replacements in a stand-alone ambulatory surgery center?

(Not HOPD which is a site located at the hospital, for same day surgery)

 
 
 
 

Travel details will be provided once a visit date is confirmed. Air and hotel accommodations must be booked through the Acendas Travel Department with meeting ID provide by ZBI. Zimmer Biomet will not reimburse for any air tickets or hotel accommodations booked outside of Acendas Travel. Requesting distributorship will be charged back for travel expenses incurred by HCP participant.

 

ZB TEAM ATTENDEE INFORMATION

 
 
 
 

Please list everyone who will be attending. Include names and titles of all additional attendees*.


*more than one HCP needs to be approved by the S2S specialist. Restrictions are made due to size of faculty's operating room, hospital regulations and overall training experience.

 
 

SPONSORING TERRITORY INFORMATION

 
 

2 digit Territory Number Only

 
 

I understand that by submitting this request to ZBI, I am acknowledging that my distributor is aware of this event, and will incur all costs associated with this event.