Technicians & Expertise Standards & Compliance Asset Management FAQ Guarantee Testimonials Request a Repair Request a Repair Please fill in the form below and we’ll be in touch, shortly. Request a Repair Please fill in the form below to request an equipment repair from MES. New clients please fill out all fields. Existing clients please fill out all fields with a *. Your Name*Your Email* Your Phone Number*Your address Equipment to be Repaired*Details of service/repair required Please let us know any details such as what date and time you would prefer to have your equipment serviced.Asset Number (if available)Is the repair a safety issue*YesNoAre you an ACC or MOH client?NoYesClaim number (ACC clients only)NHI number (MOH clients only)Equipment asset number (MOH clients only)NameThis field is for validation purposes and should be left unchanged.