Warranty Claim Form: VeriSmart Health VSH-B550

Warranty Claim Form: VeriSmart Health VSH-B550

Submit your claim for the VeriSmart Health Wireless Upper Arm Smart Blood Pressure Monitor VSH-B550. Please provide supporting evidence and complete all required information.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.
Shipping Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Serial Number of Device (VSH-B550)*
Date of Purchase*

MonthDayYear
Date
Describe the issue you are experiencing with your device*
Upload photos or videos as evidence for your claim*

Cancelof
Product Registration Status:

Registered prior to claimNot registeredUnsure
I confirm that the information provided is true and accurate to the best of my knowledge.*

I agree
Should be Empty: