Online Repair Form

Welcome to the Pacific Medical Online Repair Order Form. 

Simply fill out the form below. After your order is submitted, you will be contacted by our wonderful customer service team to get you a 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.