UC Health - Service & Repair Request

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: service@rmsomega.com

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Request Service or Repair
Action Required*
- Open New Onsite Service Call
- Open New Phone Support Call
- Obtain a Return Merchandise Authorization (RMA) #
Select a Manufacturer*

Items to Service or Repair*

Model/Part Number	Serial Number	Problem Description

Contact Information
Hospital Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Contact*
First Last
Phone*
Alternate Phone
Email*
Secondary Contact
First Last
Message
Additional Quote/Order Requests
Please let us know if you need anything else, we're happy to help!
Request Additional Supplies
- Labels
- Device Batteries
- Accessories
- Other
Other
Comments
Comments
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UC Health – Service & Repair Request