This form is used to enter a support request. If you provide the Apex assigned "Account #" this form will create a workorder for you. If not then it will enter queue waiting for a tech to read your request and make a workorder. Ask your accounting department for your 4 digit Apex account number.
Enter the practice name (add city to end of name) and your name (include an alternate in case you are busy when we call).
Enter you email and phone. Often we call the phone and it is busy or voice mail is full etc... Give us your email so we can contact you if the phone does not get us through to you.