Submit a Service Request

Use the form below for all routine technical support issues. Our support staff replies to all web based requests as quickly as possible with an assigned service request ticket number returned to the e-mail address you provide.

For Pandora Data Systems issues please visit the Pandora Website for assistance. Please note that you will be required to enter your Pandora userid and password.

For urgent issues please dial 800-910-2220 toll free for immediate assistance.

Please note: It is a violation of both HIPAA and HITECH to transmit protected health information (PHI) unidentified over a non-secure network or over the internet. As such, please ensure that no PHI is included within this service request as such an inclusion will be deemed a breach of HIPAA Rules and Regulations and ultimately a reportable event.
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Request Date:
Submitted By: (If different from Customer Contact)
Note: Omnicell employees submitting this request must provide a customer contact.
Problem Severity *
Down
Limited Functionality
Functioning - Minor Problem
User Question
Account Information Contact Information
Site Name*: Customer Contact*:
City, State*: , Contact Phone*:   Extension 
include International Code, if required
    Mobile Phone:
Omnicell CSN#*: Contact E-mail*:
    Contact me by*: E-mail
Phone
Mobile Phone
Product Information
Product Line*:
Unit Serial#: Unit Name: Location:
Problem Description
Describe Problem in Detail *:
Was this problem previously reported? Yes   No
If so, do you have the ticket #? Yes   No    Ticket Number: