Order My HipMap

STEP #1

First we need just a little information about the physician, patient, and pre-operative dates so that we can coordinate and communicate with all parties. Please take a few moments to provide the requested information.

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By checking this box you authorize Pacific Medical, Inc. to bill your credit card for HipMap analysis. Checking this box only acknowledges your authorization. Actual payment will be taken in STEP #2.
$ 0.00

STEP #2

Thank you for the above information. It helps us process and communicate your HipMap. Please proceed to the below link to finalize payment and authorization of your HipMap.