Stopain® Clinical Sample Kit Request

For Athletic Trainer Sample Boxes, please click HERE.

Sample Kits Include the following:
1 Stopain® Clinical Professional Brochure – For the Healthcare Professional to keep as an overview of the attributes and uses of Stopain Clinical

10 Stopain® Clinical 5g Gel Sample Packets – For utilization of the product on your patients during treatment (samples are not single use packets and can be used for multiple treatments)

20 Stopain® Clinical Patient Sample Cards – For patients to take home for use between treatments prior to purchasing either the Stopain Clinical from your office

1 Stopain® Clinical Product Sales Sheet – Shows benefits and points of difference to competitive products, varying products in the line, and in-office sales support material

YOUR INFORMATION

First Name*
Last Name*
Practice*
Email*
Phone*
Number of Clinics*
Number of Doctors*
Number of Daily Patients Seen*
Current Analgesic Used*
Current Analgesic Distributor*

SHIPPING INFORMATION

Shipping Attention Name*
Address*
City*
State*
Zip*
Recipients Phone
Promo Code

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