Calibration/Service Request

For all warranty work please call first and obtain a RMA#.
An RMA# is not required for standard service or upgrades.

Flat Rate Calibration Charges
Calibration: $249.00
Data: $199.00 additional
Repair Labor and Parts: As Required

Model Number:


Serial Number:
 Accessories:

Note: We are not responsible for non-Clinical Dynamics accessories shipped with service units.
Software Version:

Note: The Software Version is located on the initial power-up screen.

Reason for return:
Calibration
Repair
Replace Battery
Add Upgrades: Please provide detail and pricing given
for your upgrades in the comments box below.

Comments / Problems:

Note: the better the problem description, the faster your unit will be
diagnosed, serviced and returned to you.

Required Information:
Purchase Order Number For Service:
Maximum Amount Authorized:
Purchase order will be:
Note: We do require a copy of your purchase order.

Contact Information:
Company Name:
Billing Address:
City:   State:   ZIP:
Contact Name:
Phone#:   Fax#:
E-mail:
Note: If shipping address is different than billing address,
please advise shipping address in box below:

        

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Clinical Dynamics of CT, LLC, 10 Capital Drive, Wallingford, CT 06492 U.S.A.
In U.S.A.: 800.247.6427 International: 203.269.0090 Fax: 203.269.3402 E-Mail: info@clinicaldynamics.com
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