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Register client
Cancel client
Terms
All fields which contain
*
are required.
*
Custom_cancellation_reason
Client
*
Salutation
Mr.
Mrs.
*
Initials
*
Last Name
*
Date of Birth (yyyy-mm-dd)
*
Address
*
Zipcode
*
City
Pickup Address
*
Delivery
At the client.
Somewhere else:
*
ATTN
*
Address
*
Zipcode
*
City
*
Phone number
*
Email
Date and reason
*
Date Cancellation
*
Reason for cancellation
Client unsuitable / refuses
Deceased
Moved
Admitted to care home
Medical situation deteriorated
Transferred to another organisation
Client never started
Self reliance of client is returned
Unknown reason
Unsatisfied / experienced technical difficulties
Cutting mechanism doesn't work - Red scissors
Too many dispense problems
Sensors malfunction / not configurable
Alarm not working (speaker)
Display malfunction
Lock malfunction
Damaged casing
Motor malfunction
Unusual sounds during dispenses
Connection / offline
Deprecated firmware version
Client pulls the bags
Preserve overall confidence
Custom reason
*
Custom reason
Submit cancellation