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
    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

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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