Billing details First name *Last name *Phone *Email address (this will be your account login) *Medipics Password *Confirm Password * Create account password * Additional information Order Notes Practice Id Practitioner Id Your order Product Subtotal Medipics Subscription Test × 1 $0.99 / day Subtotal $0.99 Total $0.99 Recurring totals Subtotal $0.99 / day Recurring total $0.99 / dayFirst renewal: May 19, 2024 Credit Card Pay with your credit card Use a new payment method Card Number * Expiry Date * Card Code (CVC) * Since your browser does not support JavaScript, or it is disabled, please ensure you click the Update Totals button before placing your order. You may be charged more than the amount stated above if you fail to do so. Update totals Your personal data will only be used to process your order and support your experience throughout our applications. Your TRAKnet Practice ID (if applicable) will be used to integrate your existing patient data by First Name, Last Name, Account Number and Date of Birth. We do not sell or distribute any information. Sign up now
