Order My HipMap


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.

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


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.