REPAIRS COLLECTION REQUEST

Repairs Collection Request Submission

Your Information

Please input all required information. Once recieved we will confirm collection and send you the label(s) to affix to parcel(s)

Name

First

Last

Department

Hospital Trust

Are your repairs packaged and ready to collect?

Yes
No

If not, when will they be ready to collect?

Date

Time

Collection Details

Collection Department

Collection Contact Name

Collection Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Repairs Information

Repairs List

Please list all items going for repair. Remember to add any reference/serial numbers that you wat included on all paperwork

Quantity

Item Description

Reference/Info

File Upload

Drag & Drop Files, Choose Files to Upload

Plese use this area to upload any supporting information, scanned copies of your Repair Requistion Sheets, Decontamination Certificates, or any other paperwork that you wish to submit

Decontamination and Sterilising Confirmation

Have your repairs been decontaminated and sterilised?

YES
NO

Which method was used?

MORE INFO?

High Quality Surgical Instruments at very competitive prices
More than 16,000 items covering all surgical specialities
All popular patterns kept in stock for fast delivery

Need a reliable Surgical Instrument and Device repair service?
All repairs undertaken in-house reducing costs and turnaround times
Free National Collection and Delivery by friendly, experienced Area Reps

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