SCOR Support Request Form

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Please complete this form and someone will assist you as soon as possible. If you need immediate assistance please call our support line at 888.463.9058 extension 2.

FYI: Please note that your surgical facility can also reset your password.

It is NOT necessary to sign in to Google to complete this form.

Type of Problem *

What type of problem are you having

Additional Details

Please provide any additional details as necessary

Name of Surgical Facility *

What surgical facility do you use SCOR to access?

Name *

Name of person needing technical assistance

Requestor's Name (if different than above)

Role

Urgency of problem *

How urgent is this issue? You can call 888.463.9058 extension 2 if you need immediate assistance.

ASAP - Issue needs addressed as soon as possible.

High - Issue needs addressed today.

Medium - Issue needs addressed in the next 48 hours

Low - Issue needs addressed within next 3-5 days

Phone *

Please provide phone number

Email *

Please provide email address

Preferred Contact Method

Type of Device

What kind of Device is being used to access SCOR?

Windows 10

Windows 7

Mac

Mobile Device (Apple)

Mobile Device (Other)

Other:

Clear selection

Submit

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