Inventory Update Form

Please fill out the form below to request a LaserCare professional to add, move, or update your equipment.

Required Fields *
Company Name: *  
Equipment ID:   *
Serial Number:   *
Make / Model:   *
Requested Update: *
Add New Machine, Retire Machine, Move from 1 location to another, Update User Info for the machine, etc.
Old Location - New Location:

If moving a machine, please list the old location and the new location.
Requestor's Name:   *
Requestor's Email:   *
Additional Notes:

Security Check. Please type the text you see in the image below.