Sierra Wave Stimulator Repair

* manufacturer, model & serial nos.:

* instrument problems:

* name:

* email:

* phone:


* shipping address:

Please enclose this form with the Sierra stimulator. A $95 advance payment is required as it’ll be evaluated for repairs. That fee will be applied in full to our fixed labor fee, $495. Parts, if required, are additional.

As an alternative to the above form, you can download this PDF, print, and fax it to us.