Dispatch Request for Midmark Delivery John Cochran VA - MDS - 8654582-
Closed
Please see the following technician request details for Midmark delivery.
Request Type: Medical Equipment Delivery
Date of Delivery: 10/20/2025
Delivery Time: 0830
Time Technician needs to arrive at location: 0800
Estimated Time on Site (hours): 2
Product: (2) 626-006, (2) 002-2006-848, (2) 9A600002
EMSAR Technician Expectations:
Review all of the attached documents in detail
Call the Midmark contact (created the dispatch) with any questions
Call the customer POC 48 hours ahead of time to confirm date/time
Call the delivery agent 24 hours ahead of time to confirm date/time and confirm preassembly will be done and essential tools are known
Arrive on scheduled time to meet with customer Point of Contact (POC) and confirm rooms are ready for delivery prior to actual delivery
Supervise the delivery
Fill our Serial Number Tracking file and provide back to the customer
Fill out the Proof of Delivery (POD), get the driver and customer signatures
Fill out the Medical Delivery Observation Form
Email POD and Observation form to MDSLogistics@midmark.com
performed installed and functional test units are working properly
🔍Technician Findings
arrived on site and found that the delivery truck was running late
⚠️Problem Description
Please see the following technician request details for Midmark delivery.
Request Type: Medical Equipment Delivery
Date of Delivery: 10/20/2025
Delivery Time: 0830
Time Technician needs to arrive at location: 0800
Estimated Time on Site (hours): 2
Product: (2) 626-006, (2) 002-2006-848, (2) 9A600002
EMSAR Technician Expectations:
Review all of the attached documents in detail
Call the Midmark contact (created the dispatch) with any questions
Call the customer POC 48 hours ahead of time to confirm date/time
Call the delivery agent 24 hours ahead of time to confirm date/time and confirm preassembly will be done and essential tools are known
Arrive on scheduled time to meet with customer Point of Contact (POC) and confirm rooms are ready for delivery prior to actual delivery
Supervise the delivery
Fill our Serial Number Tracking file and provide back to the customer
Fill out the Proof of Delivery (POD), get the driver and customer signatures
Fill out the Medical Delivery Observation Form
Email POD and Observation form to MDSLogistics@midmark.com
📞
Call
Completed Sep 29, 2025
No call needed.
📅
WO-01306671 - Delivery - St. Louis, - John Cochran VA
Oct 20, 2025 9:00am – 11:00am
Work Order: WO-01306671
Account: MIDMARK
Customer Case Number: 8654582
Location: John Cochran VA
Address: 915 N Grand Blvd,, St. Louis,, MO 63106
Manufacturer:
Model #:
Serial #:
Contact Name: Samantha Hoover
Contact Phone: 314-912-6479
Contact Email: Samantha.Hoover@va.gov
Due Date: 10/20/2025
S
PDF
626 Exam Chair
Sep 29, 2025
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Midmark Delivery Service Expectations (10)
Sep 29, 2025
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2022 Serial File Midmark
Sep 29, 2025
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Medical Observation Form Rev 3.29.2022
Sep 29, 2025
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Midmark Emsar POD Medical Checklist Form Year 2025