Discogram Needle Archives - Epimed International

NEW - Master the Racz Procedure: WATCH our Guide!

Epimed Essential Nerve Block Needles & Epidural Needles - Explore our New Line - LEARN MORE

Tropocells® PRP - The New Generation of PRP Systems - LEARN MORE

Cryo Painblocker™: Setting a New Standard in Cryoneuroablation - EXPLORE

2024 Reimbursement Guide - LEARN MORE

(972) 373-9090 myorder@epimed.com

Products
Physician Services
Medical Device Manufacturing
Resources
About
- Find a Rep
- Careers
- Locations
- New Account
- Contact
My Account
- Manage Payments

Select Page

Discogram Needle

These needles have a luer lock connection and are commonly used for discogram procedures.

Chiba Needles

Chiba Needles

Chiba Needles, commonly used as nerve block needles and in discogram proced...read more

Day Needle

Day Needle

Day Needles are bullet-tip Coudé® needles with a laser-drilled side openi...read more

×

×

"*" indicates required fields

Step 1 of 5

20%

This application is for facilities and practices located in the United States and Canada only. For all other countries, please Contact Sales.

This form is for United States and Canada applicants only. Non-US applicants should contact sales to learn more. Approvals can take up to 5 business days and additional information may be requested.

Clinic/Hospital Name*

Billing Address*

City*

State*

Zip*

Country*

Email for Invoices*

Buying Affliation*

Examples: HCA, Novation, etc.

Federal ID*

Tax Exempt*

Is the facility exempt from paying sales tax?*

Yes

No

This field is hidden when viewing the form

Preferred Shipping*

Our FedEx Account

Our UPS Account

Epimed's FedEx

Epimed's UPS

This field is hidden when viewing the form

Carrier Account No.*

Upload Tax Exempt Certificate*

Accepted file types: pdf, png, jpg, Max. file size: 1 MB.

Site Security SSL

IHR-530 Rev. 13

Please provide a primary shipping address.

Shipping Address*

City*

State*

Zip*

County*

Country*

Telephone*

Fax

Site Security SSL

IHR-530 Rev. 13

Primary A/P Contact*

Phone*

Email*

Add more contacts?*

Yes

No

Please select:

Purchasing Agent

Materials Manager

Nurse

Risk Manager

Other Contact

Purchasing Agent

Phone

Email

Materials Mgt

Phone

Email

Nurse

Phone

Email

Risk Manager

Phone

Email

Other

Phone

Email

Site Security SSL

IHR-530 Rev. 13

Physician Office*

City*

State*

Postal Code*

Country*

Email*

Telephone*

Fax

Site Security SSL

IHR-530 Rev. 13

Physician First Name*

Physician Last Name*

Degree*

Pain Practice Specialty*

Terms and Conditions*

By creating an account on Epimed, I agree to the Terms and Conditions.

Site Security SSL

IHR-530 Rev. 13

Comments

This field is for validation purposes and should be left unchanged.

×

Step 1 of 2

50%

- Request Quote
Contact First Name*
Contact Last Name*
Contact Email
Please select all that apply:*
- Please send a brochure to the email provided.
- If available, how do I get a sample?
- Have my local sales rep contact me.
- Please provide a price quote for this product.
This field is hidden when viewing the form
Please select all that apply:*
- Please send a brochure to the email provided.
- If available, how do I get a sample?
- Have my local sales rep contact me.
- Please provide a price quote for this product.
- Please add me to Epimed News to stay informed
Quote Quantity:*

Physician First Name*
Physician Last Name*
Facility Practice Name*
This field is hidden when viewing the form
City*
This field is hidden when viewing the form
State Region*
This field is hidden when viewing the form
Country
Address
City State / Province / Region Country
Message
By requesting a quote, you agree to receive marketing emails from Epimed. You may unsubscribe at any time.
Comments
This field is for validation purposes and should be left unchanged.

×

Online Access Features

24/7 Convenience
View & Print Invoices
Get Tracking Numbers
Account & Tax ID
Tax & Shipping Destinations
Billing Address
Billing Email Management
Online Payments
Submit Proof of Payment

Get Our Emails

Sign up to receive Epimed emails on new products, events, exclusive content, and more!

First Name*
Last Name*
Email*
Phone
This field is for validation purposes and should be left unchanged.

About Epimed
Contact
Account
Privacy Policy
Terms of Use
Make a Payment

Physician Services
OEM Manufacturing
Media Resources
Products
Reimbursement
Find a Rep

Pain Medicine
Regional Anesthesia
Radiation Safety
Radiofrequency
Cryoanalgesia
Simulation

Facebook
Twitter
Instagram
LinkedIn
YouTube

© Epimed International, Inc. All Rights Reserved.

Follow us: