Please complete the form below with all required options for the simulator being requested. Please indicate any specific needs not listed or further customization in the special instructions area.

If you currently have a custom simulator with BioTras, select other and type in your model or company name.

If you are a new customer to BioTras, please complete the new customer form and NDA here.

Name *
Name
Phone *
Phone
Date *
Date
Date Simulator is to be received.
Recipient Phone *
Recipient Phone
Thoracic
Lumbar
Arm
Leg
Rib Cage
Please indicate rib numbers in Special Instructions area.
Disc
Cervical
Sacrum
SI Joint
Full Pelvis
Shoulder

All orders are subject to approval by BioTras. We will contact you via the email listed above.