Curved Tip Archives

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

2022 Reimbursement Guide - LEARN MORE

Curved Tip

Curved tip needles aid in placement or direction of the needle to the target site. Epimed provides curved tip options for several of its needles.

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

This form is for United States 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

Upload Tax Exempt Certificate*

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

IHR-530 Rev. 12

Please provide a primary shipping address.

Shipping Address*

City*

State*

Zip*

County*

Country*

Telephone*

Fax

IHR-530 Rev. 12

Primary A/P Contact*

Phone*

Email*

Add more contacts?*

Yes

Please select:

Purchasing Agent

Materials Manager

Nurse

Risk Manager

Other Contact

Purchasing Agent

Phone

Materials Mgt

Phone

Nurse

Phone

Risk Manager

Phone

Other

Phone

IHR-530 Rev. 12

Physician Office*

City*

State*

Postal Code*

Country*

Email*

Telephone*

Fax

IHR-530 Rev. 12

Physician First Name*

Physician Last Name*

Degree*

Pain Practice Specialty*

IHR-530 Rev. 12

Comments

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Request Online Access

This form is for users that already have an Epimed account, but do not yet have online access.

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Purchasing Company Name(Required)

Purchasing Contact First Name(Required)

Purchasing Contact Last Name(Required)

PO Number for Last Order(Required)

This is for verification purposes.

Customer Number(Required)

This is located on your invoice.

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The username is permanent and cannot be changed in the future.

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This is what will display if you a leave a product review.

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I have read and agree to the site's Terms of Use and Privacy Policy.

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

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

2022 Reimbursement Guide - LEARN MORE

Blunt Nerve Block Needles

STEALTH™ Nerve Block Needle

RF™ Sharp Needles

RX-2™ Coudé®

BELLA-D® Needle

RF™ Blunt Needles

RX Epidural Needles

RF-A™ Sharp Needles

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Request Online Access