Menu

Filters

Request a Service Call

Request a Service Call

IMPORTANT NOTICE

In honor of Memorial Day, Henry Schein will be closed on Monday, May 26, 2025. Henry Schein will not be shipping orders on that day. Orders received on Friday, May 23, 2025 will be delivered on Tuesday, May 27, 2025. Please note: all ice and refrigerated item orders received on Friday, May 23, 2025 will be processed on Tuesday, May 27, 2025 for delivery on Wednesday, May 28, 2025.
Henry Schein ServiceFirst

Complete and submit the form below to request additional information.

Returning customers, login to auto-fill this form.

Note: required fields are denoted with an asterisk(*).

Mailing Address:
Office NickName:
*Title:
First Name:
Middle Initial:
Last Name:
*E-mail Address:
*Address Line 1:
Address Line 2:
Address Line 3:
*City:
*State/Province/Region:
*ZIP/Postal Code:
Enter 00000 if a ZIP/Postal Code is not applicable.
*Country:
*Telephone Number: numbers only, 10 characters min
Telephone Extension:
Mobile Number: numbers only
Other Information
*Type of Equipment that
needs to be repaired:
Manufacturer:
Model:
Serial number:
Was this item purchased from Henry Schein Dental?
 
*Nature of the Problem:
*How would you prefer to be contacted to confirm service call?
 
numbers only, 10 characters min
*Who is the contact at
office for this repair?
*Preferred Time Of Service: ...
Your Second Choice: ...
Additional Comments:

Continue Shopping Add to Cart
Henry Schein Henry Schein