Medical Video Repair Work Order Form

Repair Work Order

If you would like to send your medical video equipment for us to evaluate for repair:

From your computer:

  1. Go to Repair Work Order Form
  2. Fill out form
  3. Save and Email to info@lightsourcevideorepair.com
    or Print and Send in box with equipment

From your Iphone/Ipad:

  1. Go to Repair Work Order Form
  2. Click share button:
  3. Go to Create PDF and click (this will allow you to fill in form)
  4. Click share button again to email to info@lightsourcevideorepair.com

Once we have received and evaluated your equipment, we will email you a quote of our findings and cost of repair.


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