Case - LMS Case Create

Submit a New Support Case

Please fill in the form to submit your support case.

You should receive a reply within one business day.

* Required fields

What would you like to report

Description

Date and time of the event

Vigilance Scanner Use

Vigilance User Description

Vigilance Intervention

Vigilance Health Status

Vigilance Other Equipment

First name

Last name

Phone number

Consent to not share personal data

Vigilance Creation Confirmation

Responsible Contact

Origin

Is Created On Weekend

Owner

Generate a new image Play the audio code

Enter the code from the image

By submitting this form, you provide us with your personal data. Read more about processing of your personal data by 3Shape and about your rights in our Privacy Policy.