Submit a request

Your email address

Contact Phone Number

Phone Extension

Priority

Subject

Describe your question or issue in a few words

Description

Please provide us with as much information as possible by including any specific error messages, steps to duplicate an issue, or specific users that are experiencing a problem. Include any screenshots or logs in the attachments section below.

Request For

Billing Category

Ticket Product

Select the Apteryx product(s) associated with the issue. (Can select multiple options)

Registration No. / Serial No.

Apteryx software registration number(s) or Tuxedo hardware serial number(s) (Typically for registration resets or hardware RMA's)

Practice Name

Please provide the practice name associated with your Apteryx account

Practice Phone Number

(No symbols or spaces please, i.e. xxxxxxxxxx)

XVWeb URL or Denticon PGID

Where you login to your XVWeb Account (https://example.xvweb.net)

When did your office Go-Live with Apteryx Software?

Affected Imaging Hardware (Required for Imaging Tickets)

What imaging hardware is related to the Ticket's issue? [i.e. Schick 33 Sensor or Planmeca Promax Pan]

Number of Workstations

Please provide the number of workstations having issues.

Attachments

Add file or drop files here