Send a handpiece

Your office details and return shipping address.

Send us your repair details, then print your work order and include it with your handpieces.

Office information

Practice name Contact person Office phone Office emailUse this same email to sign in and find your submitted work orders and recorded warranties later. Return shipping address

City State ZIP code

Review your work order

Your office

In your shipment

How should we handle your repair? Send an estimate firstContact me before beginning the repair. Repair up to my limitContact me if the repair will cost more. Go ahead with repairsNo estimate is needed.

Estimate & approval email

Payment & invoicing

Add your card securely after submitting this work order, or save a card in your account now. No payment is taken now.

Payment preference

Invoice email

No payment is collected on this form.

Shipment details

Shipping tracking number Optional — you can add it after creating your label. Anything else we should know? Optional

Submitting saves your work order, sends it to Midsouth, and sends a confirmation to your office email. Sign in with that email to view your order history and recorded warranties.

Send a handpiece

Office information

What are you sending?

Review your work order

Payment & invoicing

Shipment details

Need a shipping label?

Completed work order