Join the movement! Fill in the form to be instantly certified (all fields are mandatory). After verifying and validating your information, you will receive an email to access your benefits within a few days. First Name* Last Name* Your practice Please fill the following fields with your paractice information, as you'd like to see it appear on the Guided DolorClast® Therapy practice finder. Practice Name* Address* City* Country*loading... Postal Code* Phone number* Email address* Website Your EMS device Which EMS DolorClast device do you use in your practice (examples below)? DolorClast® Radial Shock Waves DolorClast® Focused Shock Waves DolorClast® High Power Laser Swiss DolorClast® Master Swiss DolorClast® Smart20 Swiss DolorClast® Classic Swiss PiezoClast® Your practice must be equipped with an EMS device to be eligible for certification. To confirm your equipment, please provide us with the serial number of your device. The serial number is located on the nameplate on the back of all devices, except for the Swiss DolorClast® Smart and Smart20 where the nameplate is located on the bottom of the device. Here are some examples: Serial number (SN):* Your EMS training Have you participated in a training course from the Swiss DolorClast® Academy?*YesNo If yes, when?* And where?* In order to become certified as a Guided DolorClast® Therapy practice, I agree to: *To have my practice listed in the Guided DolorClast® Therapy online directory so that patients can easily find me. A practice's certification is valid for 24 months. Renewal will be granted upon completion of an additional face-to-face or online training course offered by EMS before the expiration date. By submitting this form and providing information about yourself, you are accepting and consenting to our processing of your personal data in accordance with the practices described in our Privacy Policy. You may revoke this consent at any time. Receive EMS DolorClast® newsletters* Submit Business Segment*DentalMedical Business Unit*Pain TherapyUrologyDental Sales Source*Dealer / DistributorEMS SalesCold callDirect InquirySDA / GBTExternal Referral1st Level SupportAftersales / SAVCongress / ExhibitionCustomer ServiceDirect MailE.M.S PartnerEmployee ReferralLecture / EducationalWebsiteOtherReferralSeminarSocial MediaStart-up ConsultantTele SalesTrade ShowWebinarEmailPaidLinkedIn Sponsored FormLanding page广告Journey Sales Source Category*SalesEMS InternalEventsDigital Marketing Company (Lead/ERP)* Topic* Profession*ProsthodontistAssistantConsultantDental HygienistDental/Prophylaxis AssistantDentistDirector/Rector/CEOEngineer/TechnicianGraduatePractice Manager/ PurchaserHead of SalesOral Health TherapistOtherReceptionist/Secretary/AdministrativeSales representativeStudentTeacherVeterinarianEMS employeeUniversity employeeHealthcare ProfessionalOther clinic staffOther distributor contactDistribution sales representativePrincipal DentistPractice ManagerStart-Up Consultant