Dispatch Request for Midmark Delivery - [Foot and Ankle Specialists-MDS-8690874-Equipment]
Closed
Request Type: delivery and Installation
Date of Delivery: 01/28/26
Delivery Time: 4:00PM
Time Technician needs to arrive at location: 3:30PM
Estimated Time on Site (hours): 4
Product:
(2) 002-1119-848, (2) 647-001
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
Customer Name: Foot and Ankle Specialists of AZ
Customer POC:
Sean Brown / 512-993-1974 / Sean.Brown@footandanklearizona.com
Customer Address:
13907 West Camino Del Sol Ste 101
Sun City West, Arizona 85375
United States
Tech was shown the site and the two rooms that the chairs were going into. After chairs were delivered tech showed the staff how the chair operate. Chairs were then cleaned.
🔍Technician Findings
Tech arrived on site and helped with the delivery and setup of two 647-001 chairs.
⚠️Problem Description
Request Type: delivery and Installation
Date of Delivery: 01/28/26
Delivery Time: 4:00PM
Time Technician needs to arrive at location: 3:30PM
Estimated Time on Site (hours): 4
Product:
(2) 002-1119-848, (2) 647-001
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
Customer Name: Foot and Ankle Specialists of AZ
Customer POC:
Sean Brown / 512-993-1974 / Sean.Brown@footandanklearizona.com
Customer Address:
13907 West Camino Del Sol Ste 101
Sun City West, Arizona 85375
United States
📞
Call
Completed Jan 16, 2026
no call necessary
📅
WO-01338245 - Delivery - Sun City West - Foot and Ankle Specialists of AZ
Jan 28, 2026 5:30pm – 9:30pm
Work Order: WO-01338245
Account: MIDMARK
Customer Case Number: 8690874
Location: Foot and Ankle Specialists of AZ
Address: 13907 West Camino Del Sol Ste 101, Sun City West, AZ 85375
Manufacturer:
Model #:
Serial #:
Contact Name: Nelson Smith
Contact Phone: 512 422 4269
Contact Email: jnsmith@midm
EXCEL_X
2022 Serial File Midmark
Jan 16, 2026
WORD_X
Service Request Document
Jan 16, 2026
WORD_X
Midmark Delivery Service Expectations
Jan 16, 2026
WORD_X
2022 Medical POD Checklist
Jan 16, 2026
EXCEL_X
Medical Observation Form Rev 3.29.2022
Jan 16, 2026
PDF
2022 Medical POD Checklist 1-28-2026
Jan 28, 2026
EXCEL_X
Serial File Midmark - 1-28-2026
Jan 28, 2026
EXCEL_X
Medical Observation Form - 1-28-2026
Jan 28, 2026
Timeline
📞
Case Linked Jan 15, 7:02 PM
Case Number:00559622
Subject:Dispatch Request for Midmark Delivery - [Foot and Ankle Specialists-MDS-8690874-Equipment]