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managed services support

Managed Services Support Form

Please fill out the form below to submit an issue with your Laerdal equipment. Upon submission and urgency, a Laerdal representative will be in contact with you.

(*) indicates a required question to answer.

Contact Information

Please select the priority of your issue

Location for equipment shipping

Cohort information

Was this pallet ?

Issue Description

Please select which Item you are having an issue with

Software Related Issues

(skip if not applicable to your issue)

Do you have an Emergency Kit on-site?

Attach Photos below

Hardware Related (Functoinality) Issues

(skip if not applicable to your issue)

Will it affect Cohort operationally ?

Attach photos below

Missing/Damaged Equipment Issues

(skip if not applicable to your issue)

Missing Items

Was there a checklist with the equipment ?

Damaged Items

Attach photos below

How soon do you need the item?

We will handle your personal contact details with care as outlined in Laerdal's Privacy Policy.

We will handle your personal contact details with care as outlined in Laerdal's Privacy Policy.

Christopher Test Form

We will handle your personal contact details with care as outlined in Laerdal's Privacy Policy.

We will handle your personal contact details with care as outlined in Laerdal's Privacy Policy.