Submit RMA - Supporting Healthcare
Please fill in this form accurately to allow us a to provide a quick process in returning the item. Inaccurate information or any missing information may delay processing.

You must submit an RMA form for each product you are returning

RMA steps:
1. Fill out the form completely
2. Send the form
3. You will get an RMA Number. Please use this number in all correspondence
4. Send the device for inspection to:

Supporting Healthcare NV
Aalsmeerderdijk 154,
1438 AX Oude Meer

For more information please contact your account manager or contact us directly via service@supportinghealthcare.eu
Product name *
Device name and model

Serial number

 *
Serial number of the device

Complaint, error or issue

 *
Please describe your problem with the product as detailed as possible
Invoice number *
Invoice number of the invoice received for this product
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Supporting Healthcare NV.

Does this form look suspicious? Report

Google Forms