{"id":560,"date":"2020-07-14T00:11:30","date_gmt":"2020-07-14T00:11:30","guid":{"rendered":"http:\/\/stimrouter.pixelsmith.co\/?page_id=560"},"modified":"2024-12-16T08:16:21","modified_gmt":"2024-12-16T15:16:21","slug":"get-information-for-your-practice","status":"publish","type":"page","link":"https:\/\/stimrouter.com\/en\/utilities\/get-information-for-your-practice\/","title":{"rendered":"Get information for your practice"},"content":{"rendered":"\n<div id=\"acf\/banner-block_8949c3d04240178d94e575c0e6a90084\" class=\"pxblock pxblock--banner banner text-color--light height--short\">\n\t\n\t<div class=\"container\">\n\t\t\t<\/div>\n\n\t\t\t<img decoding=\"async\" class=\"banner__wave\" src=\"\/wp-content\/themes\/stimrouter\/assets\/images\/wave-image.svg\">\n\t<\/div>\n\n\n\n<div id=\"acf\/text-block_fef1bb2be0efcc4c492a7c72450866ee\" class=\"pxblock pxblock--text text width--default\">\n\t\n\t<div class=\"container\">\n\t\t<h2><b>I\u2019d like to learn more about the StimRouter PNS neuromodulation system<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The StimRouter neuromodulation system can provide value to your patients and practice.\u00a0 If you would like to learn more, please complete this contact form and a representative will contact you as quickly as possible.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">If you would prefer, call 1-855-771-0606 Monday-Friday between 8 AM-5PM EST.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<br \/>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7160-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"7160\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/560#wpcf7-f7160-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"7160\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7160-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<table class=\"order-online\">\n\t<tr>\n\t\t<td>\n\t\t\t<p><label class=\"required\">First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label class=\"required\">Last Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label class=\"required\">Phone<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label class=\"required\">Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label >Clinic\/Hospital Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hospital-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hospital-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Clinic\/Hospital Country<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hospital-country\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"hospital-country\"><option value=\"USA\">USA<\/option><option value=\"Canada\">Canada<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"The Bahamas\">The Bahamas<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belize\">Belize<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Chile\">Chile<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominica Republic\">Dominica Republic<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Panama\">Panama<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent and The Grenadines\">Saint Vincent and The Grenadines<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Venezuela\">Venezuela<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>Clinic\/Hospital State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p>State \/ Province \/ Region\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label>I am a:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"i-am\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"i-am\"><option value=\"Interventional pain specialist\">Interventional pain specialist<\/option><option value=\"Neurosurgeon\">Neurosurgeon<\/option><option value=\"Naturopathic physician\">Naturopathic physician<\/option><option value=\"Paying or billing specialist\">Paying or billing specialist<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><label >Please contact me about<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contactmeabout\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"contactmeabout[]\" value=\"The PNS procedure\" \/><span class=\"wpcf7-list-item-label\">The PNS procedure<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"contactmeabout[]\" value=\"Patient selection\" \/><span class=\"wpcf7-list-item-label\">Patient selection<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"contactmeabout[]\" value=\"Reimbursement\" \/><span class=\"wpcf7-list-item-label\">Reimbursement<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"contactmeabout[]\" value=\"Have a sales representative contact me\" \/><span class=\"wpcf7-list-item-label\">Have a sales representative contact me<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td colspan=\"2\">\n\t\t<span class=\"wpcf7-form-control-wrap recaptcha\" data-name=\"recaptcha\"><span data-sitekey=\"6LfL22QqAAAAAH1xmP4oPng3KX0DzAc51zSYH5ok\" class=\"wpcf7-form-control wpcf7-recaptcha g-recaptcha\"><\/span>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe loading=\"lazy\" src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6LfL22QqAAAAAH1xmP4oPng3KX0DzAc51zSYH5ok\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"reCaptcha Response Here\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/span>\n\t\t\t<p>By clicking submit, I consent to receive email and phone communications at the above provided email address and phone number sent from or on behalf of Bioventus.\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"5\"\/><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" 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aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/p>\n\t<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":29,"featured_media":0,"parent":2571,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":true,"footnotes":""},"class_list":["post-560","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/stimrouter.com\/en\/wp-json\/wp\/v2\/pages\/560","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stimrouter.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/stimrouter.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/stimrouter.com\/en\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/stimrouter.com\/en\/wp-json\/wp\/v2\/comments?post=560"}],"version-history":[{"count":0,"href":"https:\/\/stimrouter.com\/en\/wp-json\/wp\/v2\/pages\/560\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/stimrouter.com\/en\/wp-json\/wp\/v2\/pages\/2571"}],"wp:attachment":[{"href":"https:\/\/stimrouter.com\/en\/wp-json\/wp\/v2\/media?parent=560"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}