Calibration/Service Request

An RMA# is not required for standard service or upgrades.

Calibration Charges
Calibration, AccuSim Total Patient Simulator: $449.00
Calibration, Units with SPS Option (ECG/Resp/IBP/Temp): $369.00
Calibration, All other products: $275.00
As Received/As Returned Data: $199.00 additional

Repair Labor and Parts: As Required
(No Flat Rate, we will quote all repairs after evaluation)
Evaluation Fee: $150.00 Applies if repairs are not completed

Standard Turn Times are 2-4 weeks
Expedite Fee: $300.00

Battery Pack: $229.00 (NiMH)
Orders for Replacement Part Only: $25.00 minimum charge

A Handling Fee is added for all shipments on your carrier account
Domestic $15.00 / International $50.00

A 3 percent surcharge is added when payment is by credit card

Model Number:

Serial Number:

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:
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#:
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:
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