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Service Request Form

At OpeMed we pride ourselves on offering comprehensive service packages over and above our Manufacture Warranty. With flexible support from a one off service through to a 5 year service agreement, we can help ensure your equipment is supported for years to come.

    Your name*

    Your Email*

    Your Telephone Number*

    Your Address

    What equipment requires servicing? (required)

    Please provide serial numbers for each item requiring a service (required)

    Installation date

    Please specify which company installed and provided the equipment

    Date of previous service

    Service term of interest