BayCare Health System

Repair Services for BayCare Health System

Welcome! To request repair services, please complete the form below.

Please send repairs to 9635 Philadelphia Road, Baltimore, MD 21237.

For assistance, please e-mail helpdesk@rmsomega.com.

BayCare - Winter Haven

Action Required(Required)

Open New Onsite Service Call

Open New Phone Support Call

Obtain a Return Merchandise Authorization (RMA) #

Manufacturer

Items to Service or Repair(Required)

Model/Part Number

Serial Number

Problem Description

Contact Information

Hospital

Please select a Hospital from the drop down.

Address

Street Address Address Line 2 City State ZIP Code

Address

Street Address Address Line 2 City State ZIP Code

Address

Street Address Address Line 2 City State ZIP Code

Address

Street Address Address Line 2 City State ZIP Code

Address

Street Address Address Line 2 City State ZIP Code

Address

Street Address Address Line 2 City State ZIP Code

Primary Contact

First Last

Primary Contact

First Last

Primary Contact

First Last

Primary Contact

First Last

Primary Contact

First Last

Job Title / Department

Phone

Phone

Phone

Phone

Phone

Email

Email

Email

Email

Email

Secondary Contact

First Last