Repair Form - Integrated Medical

Integrated Medical repairs most rehabilitation equipment. Many repairs can be done at your facility. We can also coordinate warranty and non-warranty repair of items by the manufacturer.

Please fill out the form below to schedule your repair.

Name*

First Last

Company*

Address where equipment to be repaired is located*

Street Address City State ZIP Code

Email*

Model*

Serial # (Usually located on back or bottom of unit - If not known list N/A)*

Description of problem.*

Please include any error codes.

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