Support

HIPAA & HCFA Compliant Services

This is a form that you can use to report problems and schedule service. Any information that you provide on this form will be reviewed by the system engineer on duty. For information on upgrading your service call 610.337.0287 to speak to a representative. Please report problems electronically if possible, by loading this form in a Web browser and clicking on "Send Problem Report to Viable Solutions" at the bottom.

User Information:

Name:
Company:
Address:
City:

State: Zip:

Prefer to be contacted via:
e-mail address:

Telephone:
FAX :

Hardware & Operating System Information:

Hardware Platform:
Where problem can be viewed:

Operating System:
Version (if known):

Problem Severity:

Problem Details:

Description (characterization of the problem and any specific circumstances that led up to it):

Error messages produced, if any (be precise):

Steps to re-create the problem: