Sensor Repair Request Form
Please make sure you fill out the form below in it's entirety for the fastest turnaround. Once you have filled out the form below, please send the broken sensor to:

American SensorTech
(919) 924-8559
360 Raleigh St.
Holly Springs, NC 27540
United States


Full Name

Email Address

How did you find us?

Phone Number and Best Time of Day to Contact:

Return Mailing Address:

To the best of your ability, please detail the problems you are experiencing with your sensor equipment:

Which Digital Dental Sensor model are you sending?

If "other" above, please specify. Call us with questions

Sensor Serial Number (1)

Sensor Serial Number (2)

If digital dental sensor is not repairable, reassemble?

Please detail the exact contents you will be shipping to us below: Make your own website