Hi hmosiejones,
Thanks for posting here. I'd like to confirm which SharePoint service you are using now, SharePoint Online or On-premises SharePoint Server?
If you are using SharePoint Online, I would like to confirm did you set up a template for the content type? If so, please check the template URL or template file for the content type is correct. If the issue persists, please re-run desktop app form MOP download page, see here: http://onlinehelp.microsoft.com/en-us/office365-smallbusinesses/ff637537.aspx
If you are using SharePoint Server, I sincerely suggest post it in SharePoint forum. This is the link:
http://social.msdn.microsoft.com/Forums/en/category/sharepoint/
Please me know if there are anything unclear.
Thanks,
Allen Qiu