This form is for repair or servicing of equipment including replacements of consumables such as Holter leads, BP cuffs, Holter cards, ECG leads and pouches. 

Before sending any equipment, complete this form and call helpdesk on 1300227346 or email helpdesk@cardioscan.com.au to get a job number. 

You will be asked to provide a barcode number from the sticker that reads "Property of Cardioscan"