ReActiv8 Therapy Access - Mainstay Medical

Do you have your own Physical Therapy department? If not, do you routinely refer to specific Physical Therapy practices in your community? Please provide names and contact information(Required)

Do you have partners in your practice who would also be interested in becoming ReActiv8 Certified? If so, please provide contact information.(Required)

Do you perform ESI, Medial Branch blocks, RFA, SCS or other PNS procedures? If so, please specify(Required)

Do you perform these in your office, ASC or Hospital? If so, please specify (if applicable)(Required)

What percentage of your Practice is Mechanical Low back pain?(Required)

RFA Failures?(Required)

Do you own your ASC or have a partnership in the ASC?(Required)

Is it PE owned?(Required)

What are the ASC indicators for success? $ driven, volume driven outcomes drive?(Required)

Do you measure referrals based on good outcomes?(Required)

In House - Name/Contact Info(Required)

Outsourced - Name/Contact Info(Required)

Hybrid/Other - Name/Contact Info(Required)

EHR/EMR Platform - Name/Contact Info(Required)

Pricing/Product Approval Committee(s) - Name/Contact Info(Required)

Currently using Patient engagement platform - Please specify(Required)

Collecting patient reported outcomes/satisfaction scores - Please specify(Required)

Participating in a registry - Please specify(Required)

Currently involved in any neuromodulation studies - Please specify(Required)

Research Infrastructure Contact Information

(Research coordinator/study coordinator/outsource)

Telemedicine Offering - Contact Information

Marketing Department - Contact Information(Required)

Note: By submitting your information above, you consent to Mainstay Medical sending you educational and clinical information regarding the ReActiv8 restorative neuromodulation system, including facilitating next steps for your ReActiv8 training and certification. (You may rescind your consent at any time by providing notice to Mainstay Medical.)

Take the Next Step Towards ReActiv8 Restorative Neurostimulation Therapy Access