Service for business customers

Request a part or consumable

This form is for a loose part or consumable. For a complete system, please use the quote form.

Make a request Call 033 434 50 60

Request

What happens next?

You receive a ticket numberBy email, with a summary of your request.
We look at your requestThis form is a request, not an order.
We contact youAbout the options and about how you can receive it.

Not sure of the REF or item number? Describe the part, or add a photo of the part or the type plate.

This form needs JavaScript. Call us on 033 434 50 60 or email info@vcmmedical.nl.

Which device is it for?

Device (optional)Choose from the list or type it yourself, also for another brand.Serial number (optional)Found on the type plate, usually on the underside or back.

What do you need?

Item, REF or descriptionDo not enter patient data. Maximum 1000 characters.QuantityDigits only.

Is it urgent?

Photo or PDF (optional)For example a photo of the part or the type plate. JPG, PNG or PDF only, maximum 3 files, maximum 15 MB in total. Without patient data: no patient names or numbers in the image.

This is a question to you, not an agreement about delivery time. Is an examination on hold? Then also call us on 033 434 50 60.

How would you like to receive it?

This is a preference. We will agree on it with you.

How do we reach you?

Contact personDepartment and institutionPhoneEmail

We only use your details to handle your request and keep them for 12 months. Read the privacy statement. Do not enter patient data.

Need a complete system?

Request a quote or advice.

Request a quote