Arrange a Repair

To book a non-urgent repair where the work can be carried out during business hours, please complete the details below and a repairs representative will contact you (Monday to Friday 8am to 4.30 pm).

Customer details

Customer name *

Phone number *

Email address

NHI number (if known)

Private job

Yes

Repair location address

Address 1 *

Address 2

Suburb *

Town/City *

If this request is being completed on behalf of the customer, please provide the following details

Contact name

Relationship to customer - (carer, family, friend etc)

Organisation name (if applicable)

Contact phone

Contact email

Item(s) to be repaired

Please provide the asset number and manufacturer's serial number (if known)

Problem / Issue with equipment

Please provide detail equipment problem/issue

Special instructions (including specific contact details)

Communication will be directly with the customer unless requested otherwise

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Arrange a Repair

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