Hospital/Company name *Biomed Name *FirstLastHospital PO *HOSPITAL BILLING INFOHOSPITAL SHIPPING INFOEmail *ITEMS TO BE SENT IN FOR REPAIR Please select one or more of the items below and state the issue next to the productInfusion Pumps ModuleTelemetryFetal TranducerMonitorsWall SuctionPatient CablesOthersModel NumberSerial NumberQuantityProduct Issue – (Please describe the problem in as much detail as possible)
Submit Quot Request

Repair Form

PDF Form

Send the products you would like repaired with the repair form to: 

TRY TOUCH SERVICE, INC.

5199 E Pacific Coast Highway. Suite 504

Long Beach, CA 90804

Once submitted, you will be contacted by one of our wonderful customer service representatives with your RGA number. 
If you have any questions, please email info@trytouchservice.com or call 562-661-5790. 
We accept Master Card, Visa, American Express, Discover, Check, Bank Transfers and P.O.’s.