Please enable JavaScript in your browser to complete this form.
Online Support Request
pute.us
is here to help! Please fill out the form below & we will be in contact with you very soon!
Please enable JavaScript in your browser to complete this form.
Contact Name
*
First
Last
Facility Name
*
Preferred Method of Contact
*
Email
Phone
Contact Phone Number
*
Please provide us the best number to reach you directly. Using a generic (non-direct) number may result in a delay in resolution time.
Email
*
Troubleshooting Issue(s)
*
Computer/Laptop/Server
Phones/Texting/Fax
Internet/Wifi
Software/PiMS
Radiology/Labs
Printer
Cameras
Other
Please provide a brief description of your issue or needs
*
Submit Case