Instrument Repairs

Thank you for using our instruments in your clinic.

**WE ARE CURRENTLY REQUIRING CUSTOMERS TO CALL THE REPAIR DEPARTMENT BEFORE SENDING YOUR PTLMS OR OLD-STYLE MDT (ROUND SHAFT) IN FOR SERVICE: (360) 748-4207**

We offer instrument repairs on a variety of our products. Sending in these tools for repairs is one of the best ways to prolong their lives. Please fill out this form to the best of your ability. Please include the Instrument Repair number assigned after submission in your shipping package with your instrument.

Please reach out to us at pettibonsysteminfo@pettibonsystem.com or call us at 360-748-4207 if you have any questions about instrument repairs.

Instrument Repair Form

Your Information
Your Name*
First Last
Business Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Email*
Product Information
Date of Purchase
MM slash DD slash YYYY
Original Invoice Number
Describe Issue with Instrument*
Instruments and repairs include a 6-month warranty.
Upload photos and supporting documents
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
Instrument Needing Repair*
- Select All
- MDT (Multiple Digital Toggle)
- Negative-Z
- Pre-Approved PTLMS Service
- Pre-Approved Old-Style MDT (Round Shaft)
Repair Form Acknowledgement*
- I understand that I am required to contact the repair department before sending in my PTLMS or Old-Style MDT. I also understand that there is no guarantee for repair and I am responsible for return ship costs.
Instrument Repair Fee Acknowledement*
- I understand that non-warrantied MDT & Negative Z repairs are subject to a flat $50 repair fee PLUS the cost of parts and shipping. Pre-approved non-warrantied PTLMS are subject to a flat $100 repair fee, plus shipping. Pre-approved non-warrantied Old-Style MDT units are subject to a flat $200 repair fee, plus any additional parts and shipping.

Thank you for using our instruments in your clinic.

Instrument Repair Form

Your Information

Product Information

Orders

Professionals