Infusion pumps, patient monitoring, Abbott, Hospira, Alaris, Carefusion, Cardinal Health, Dinamap, GE, Datascop, Nellcor, Baxter Healthcare

RMA Request

 

Please complete form and click submit at the bottom of the page.   A copy will be emailed to the address provided

 

Your unique RMA number is displayed at the top of this form. Please use this number when communicating with Select Biomedical about your repair.

 

 Thank you!

 

  Date:

 

RMA# (RMA Number can be used for multiple repair items.)
  Company Name:
  Ship to Address: 
  Attention:
  Street Address: City:
  State:   Zip: 
  Bill to Address:  same as Ship to Address
  Company Name:
  Attention:
  Street Address:  City:
  State:   Zip:
  Contact Name*:  (* required fields)
  Phone Number*: Email Address*:
  Item(s) being shipped for repair:
 
  Reference or PO Number: (Required Prior to Return Shipment)
Expedited Repair Option (Only valid if box is checked)
Repair orders can be expedited on a 48 hour turnaround from receipt of equipment (not including return shipping time). This service will be offered for a 30% up charge of the original repair cost and will be returned to you via UPS Next Day Saver, (additional charge).
Comments (Please include any special requirements):

Return shipments will be shipped UPS Ground (Uninsured) unless

otherwise indicated in the Comments area above.

 

 PLEASE NOTE: Select Biomedical is NOT responsible for ensuring Patient Readiness upon receipt.

Six month warranty will cover all parts and labor associated with the repair of items,

cosmetic and physical damage will be billed back to the customer.

 

Contact Us: Select POS & Peripherals  LLC  7275 Bush Lake Road Edina, MN 55439 1.866.559.3500  information@selectpos.com

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