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Repair Request

Please fill in this form for all medical devices repair requests. Note that for calibration and certification intervention, you should fill in the maintenance request form instead of the repair request form.

 

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APPLICANT INFORMATION

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IDENTIFICATION OF THE DEVICES

  Nom Fabricant/Marque Modèle # de série (facultatif) Date de disponibilité
Appareil 1          
Appareil 2          
...          

 

Pour toutes questions concernant le fichier à transmettre, écrivez-nous à:

service@haelys.com

 

 

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OPTIONS OFFERED

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ADDITIONAL INFORMATION

Please note that your request will be processed according to normal business hours from Monday to Friday from 8 AM to 12 PM and from  1 PM to 4 PM. For immediate assistance, call toll free 1 (844) 360-3185 ext. 301.

 Additional Information: 

  • We serve Quebec, Ontario and the Maritimes in the following service points : Ottawa, Boucherville (Montreal), Quebec, Halifax, St-John.
  • Travel: Travel expenses will apply when the technician goes onsite.
  • Carrier: Please note that some devices can not be recovered by carrier such as examination tables, chairs and sterilizers.
  • Repair Estimate: In the case where the cost (parts and labor) of the request intervention is lower than 150,00 $, it will be considered as previously accepted and completed without further request authorization. In all other cases, Haelys will provide a cost estimate of the intervention for authorization prior to proceeding.