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Online Repair Form

Welcome to the Pacific Medical Online Repair Order Form.  Start here to receive your RGA instantly online!

Simply fill out the form below. After your order is submitted, you will be prompted to download a free shipping label. Once you have your shipping label printed, pack everything up, send it in, and we will send you a tracking number to notify you when your order is on its way back to you! 

If you would rather send in your repair form, you can download a free shipping label by clicking here.

 

Send the products you would like repaired with the repair form to: 

Pacific Medical LLC
32981 Calle Perfecto
San Juan Capistrano, CA 92675

Once submitted, you will be contacted by one of our wonderful customer service representatives with your RGA number. 
If you have any questions, please email info@pacificmedicalsupply.com or call 800-449-5328. 
We accept Master Card, Visa, American Express, Discover, Check, Bank Transfers and P.O.'s.



Copyright © Pacific Medical 2017 32981 Calle Perfecto, San Juan Capistrano, CA, 92675 (800) 449-5328
ONE SOLUTION FOR ALL YOUR PATIENT MONITORING NEEDS