Report Product Issue (Feedback & Complaints)
Please Identify yourself, the band ID, date of the issue, any clinical corrective action taken.
Clinic ID & Location [XXX - City]
Defective on Arrival
Band Frame Issue
Describe Product Problem
Cause of Problem
Photos (please provide 3 angles)
Corrective Action Taken at Clinic
Requested Response from HeadStart
No Action Required
Reprint Band (same design)
Send Additional Strap / Foam Material
Reprint Band (sending new scan file)
Was there an injury?
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