Request for Service Thank you for contacting the Astris Lifecare Service Team. Please enter your details below, also note that all fields marked with an asterix are mandatory. To ensure a timely response to your request, relevant images or documents also need to be attached. We look forward to doing business with you. Kind Regards The Service Team. First Name* Last Name* Address* Contact No.* Alternative Contact No. Email* Equipment to be repaired* Image or Document IF YOUR SERVICE IS NDIS FUNDED PLEASE COMPLETE THE DETAILS BELOW NDIS (NDIS # / Name / DOB) Issues or faults with Equipment* Submit