Siemens Healthcare SAS always seeks to improve its processes for customer service. We appreciate your collaboration by reading the following questions below indicating the most applicable answer.
I have read and understand the actions to be taken described in the letter
YES
NO
I have the product(s) and/or system(s) mentioned in the letter
YES
NO
I confirm by the following information that I am the responsible operator of the products mentioned above and I agree to the implementation of corrective measures:
Name
*
E-mail
*
Institution
*
address
*
Instrument Serial Number:
