Service Request Form – Dev

If you have a Labmed client number, please include it.

Work Location Information

Work Location Address:
Same as Work Location Information

Billing Information

Billing Address

Equipment Information

Is the unit under contract?
Is the equipment under warranty?
If there is more than one piece of equipment, please provide a list of the additional equipment with detailed information.
Service Call Request Location:
Preventative Maintenance / Calibration Request:
Estimation Request:

We offer a 24/7 EMERGENCY service

Our goal is to satisfy your organization’s requirements.

service@labmedsolutions.com

514 395 1090