Get Instrument Repair Form - The Pettibon System

Filling out the Instrument Repair Form for The Pettibon System online is a straightforward process that ensures your equipment is serviced efficiently. This guide will provide you with clear, step-by-step instructions to complete the form accurately, helping you facilitate repairs with ease.

Follow the steps to fill out the Instrument Repair Form online:

1. Press the ‘Get Form’ button to obtain the Instrument Repair Form and open it for your editing needs.
2. Begin by entering the type of equipment you are sending for repair in the designated field. Options include MDT, PTLMS, DUD, Vibe Platform, or Wobble Chair. Make sure to select the correct category to avoid any delays.
3. If applicable, provide the Instrument ID number and indicate whether the MDT tip posts are square or round. Include the date of purchase and invoice numbers for both Pettibon and reseller to facilitate processing.
4. Indicate if the equipment is covered under warranty by selecting 'Yes' or 'No'. Remember that most products come with a 6-month warranty unless noted otherwise.
5. Fill in the cardholder's name, credit card number, CVC, signature, and expiration date to authorize repairs and payments. It is crucial to provide current payment information to avoid any complications.
6. In the section labeled 'Description of Equipment Issue', briefly describe the problems you are experiencing with the equipment. This will assist the repair team in diagnosing and addressing the issues effectively.
7. Complete the 'Doctor's Information' section, providing your name, clinic name, address, and telephone number. Additionally, include your email address if you wish to receive an estimate before work begins.
8. Review all the information entered to ensure it is accurate and complete. This will help prevent delays in processing your repair.
9. After filling out the form, save your changes and ensure you download or print a copy for your records.
10. Finally, submit the completed form by faxing it to the number provided or by emailing it. Include a copy of the form with your equipment to be sent for repair.

Complete your forms online today to streamline your equipment repair process!