This form takes about 15 minutes to complete and cannot be saved partially done.   Make sure you have the model number and serial number of the product you are reporting.  Have photos and error logs ready to upload. Fields indicated with an "*" are required.

CONTACT INFORMATION
PRODUCT INFORMATION

 

PRODUCT: RF CONSOLE
PRODUCT: HANDPIECE
PRODUCT: TREATMENT TIP
PRODUCT: ICM PRODUCT
PRODUCT: OTHER


PRODUCT EXPERIENCE
OK
Product Experience


OK

OK

OK

OK

OK
OK

OK
FILE ATTACHMENTS  

Note: Maximum total upload size = 100MB. Image/video file types supported: 'jpg', 'jpeg', 'png', 'gif', 'mp4', 'mkv', 'h.264', 'mov'. For other file types, please email file to QualityPER@viveve.com.

Upload Photos/Videos (optional)
Upload Log File (optional)
Files supported: "log", "txt"