Returns - MiroDX

Return Request Form

"*" indicates required fields

First Name*

Last Name*

Phone Number*

Email Address

Return Method*

Thank you!

Please describe your preferred alternative method of return. This will allow a representative to follow up with the most appropriate next steps – thank you for returning your device for reuse!

Package Pick Up Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

We will alert your provider that you wish to return your patient education tablet to their offices. This can be done at your next follow up visit. Should you have any questions or issues, please feel free to email: help@mirodx.com.

Date

Please select a date for FedEx to come retrieve the package from your porch/doorstep. You will not need to be present, but the package must be available.

Earliest Pick Up Time

Please select the best window of time on the date selected for FedEx to retrieve the package. This will be the earliest time you would have the package available for retrieval.

Latest Pick Up Time

Please select the best window of time on the date selected for FedEx to retrieve the package. This will be the latest time you would have the package available for retrieval.

Return

Return, recycle, reuse. Easily return patient education tablets below.

Return Request Form

MiroDX Headquarters | 7920 Belt Line Road | Suite 210 | Dallas TX 75254

P: 888-656-3444 | F: 888-316-2535