Service Request

Instructions - Please read

Use the form below to request authorization to send your device to PRC for repair. A $62.50 fee will be charged if you send a device to PRC without an authorization number.

1. Complete the information below, and click “Send Request”.

2. We’ll email you with a Return Authorization Number (CA#) authorizing you to send the device to PRC within 1 business day.

3. Once you’ve received your Return Authorization Number (CA#), you can send the device to PRC:

   Prentke Romich Company
   Attn: your CA#
   1022 Heyl Road
   Wooster, OH 44691

4. If the repair will be paid for by a Insurance, Medicaid or Medicare, visit http://funding.prentrom.com to access the Funding Submission Assistant or Forms Locator to get started completing the paperwork.

Notes

• Accessories
  • Accessories get misplaced or lost easily. Please don’t send PRC any accessories unless we request them.
  • If you send accessories to PRC and want them returned before your device, we’ll ask you to pay the shipping to have them sent separately.
  • Any accessories not claimed within 30 days of your device being returned are forfeited.
• For a non-warranty repair, the cost of a loaner ranges from $135 - $300, depending on the device.
• Any time a loaner is requested (regardless of warranty), someone must assume financial responsibility for damages to the loaner.
• When you receive your CA#, use it to check the repair status at http://prentrom.com/repairs.
• Please contact PRC Service by email service@prentrom.com or phone 800-262-1990 with questions.