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Product Information
Please enter your model and serial numbers in the respective fields. If not applicable, write n/a.
Equipment Type
Scope
Patient Monitor
Module
IV Pump
Telemetry
Miscellaneous
Oxygen Blender
Wall Suction Regulator
*
Model Number
*
Serial Number
*
Bio Hazardous Material Information
All flexible endoscopes must be rendered safe to handle prior to being returned to TenaCore for repair. By clicking "Yes" , you are confirming that the equipment has been both cleaned and high level disinfected or sterilized.
Has the Product Been:
-Cleaned?
Yes
No
*
-Disinfected/Sterilized?
Yes
No
*
Problem Description
Enter a problem description, the date on which you will ship the unit and the branch to which you will ship the unit to.
Customer Complaint
*
Planned Shipment Date
Ship to Service Center
Santa Ana
*
Sales Rep
Albert Negron
Amber Auger
Ericka Madrid
Sheela Chugh
Steve Shutts
Tara Stack
MW
NE
NW
S
*
Shipping Label
Yes
SUBMIT SERVICE REQUEST
*
All fields needs to be entered