Customer Connection

Excellent customer service is an important part of the MVRBC organization. Feedback from our customers will provide insight into improving and enhancing our processes and services when providing quality products to patients in need. One tool used to provide this feedback is the Customer Connection form. Please use the form below to document any product or customer service issues you have experienced.

PLEASE FILL OUT THE FOLLOWING FORM (Or Use PDF Form)

* Required Fields

Customer *	Date of Occurrence *

Name of Person Initiating the Form *	Email Address

Was MVRBC/SEIBC previously contacted prior to completion of form?

Yes (Phone, Fax, E-mail, Mail, OOS) No

If Yes, Name of Person Contacted

	Unit Number	Product Code
IRRADIATION CREDIT




	Unit Number	Product Code
PRODUCT/SEGMENT HEMOLYZED




PRODUCT BROKEN


	Unit Number	Product Code
Upon Receipt


	Unit Number	Product Code
Upon Thawing


	Unit Number	Product Code
Other (please explain below in comments box)



	Unit Number	Product Code
OTHER EVENTS



DELAY IN SHIPMENT (Yes, see comments)

Was patient care delayed because of this?

Yes No

Please rate severity of the situation. (1 is low; 5 is high)

1 2 3 4 5

Comments

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