Sierra Wave Stimulator Repair

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 form, you can download this PDF, print, and fax it to us.


* name:

* shipping address:

* phone:


* email:

* Manufacturer, Model and Serial Numbers:

* instrument problems:

Credit Card Holder’s Name:

Credit Card Number :

Expiration Date:

Security Code:

Statement Mailing Address :