Service/Parts Request | Omega Medical Imaging

Service Request

Our level of protection is designed to offer complete coverage and give you the assurance that Omega’s system is being maintained at the highest possible level. For service or parts request fill out the form below.

Name*
First Last
Email*
Enter Email Confirm Email
Phone Number*
Hospital or Company Name*
Is the system down?*
- Yes
- No
Does this site have a service agreement?*
Reason for Service Request:*
- Schedule a PM
- Problem/ issue with system
- Tech support needed
- Part request
- Request a service agreement
- Other (Explain at end of form)
Part number or description of part needed:
What type of system requires service:
What year was the system installed?
Please describe issue for service request. Be as detailed as possible.*
Email
This field is for validation purposes and should be left unchanged.