Service Request Form

We’re here to help. Quality repair and maintenance service is important to us here at AAM Healthcare.

We provide a range of services to support our customers with operating their APATM products. If you have questions about service and support for your APATM product, Contact AAM Healthcare.

Online Technical Support

Please complete the form below for communication with Technical Support. Be sure to complete the form with as much detail as possible so that we may assess your situation and provide assistance. Once your form has been completed and submitted please wait for a Service Request Number and an attached Service Request Form to be issued and emailed to you before sending in your APATM product for repair/maintenance.

Please complete the appropriate part of the services request form based on your requirements:

  • Part A

    Kindly fill in the *mandatory fields
  • Date Format: DD slash MM slash YYYY
  • For APA™ Blades (MAC 3, MAC 4, DAB, U-DAB) and APA™ Accessory please enter the LOT number, if known
  • Contact Information

    Please complete your contact information
  • Part B

    Kindly fill in the *mandatory fields
  • Date Format: DD slash MM slash YYYY
    (Please choose carefully, to aid us in providing you with the best service possible)
  • Contact Information

    Please complete your contact information