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Guided DolorClast^® Therapy
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Book a Service

First Name(Required)

Last Name(Required)

Email(Required)

Phone/Mobile Number(Required)

Clinic Name(Required)

Post Code(Required)

Select your State/Country and Service Provider:(Required)

Select your required service:(Required)

Select your Device/s:(Required)

DolorClast Classic

DolorClast Master

DolorClast Radial

DolorClast Smart10

DolorClast Smart20

How many DolorClast Classic devices do you have?(Required)

How many DolorClast Master devices do you have?(Required)

How many DolorClast Radial devices do you have?(Required)

How many DolorClast Smart10 devices do you have?(Required)

How many DolorClast Smart20 devices do you have?(Required)

Select your Handle/s:(Required)

EvoBlue

Blue

Power+

Select your Handle Type:(Required)

EvoBlue Workshop Refurbishment

Blue Workshop Refurbishment

Power+ Workshop Refurbishment

Standard Workshop Refurbishment

Enter shock count for EvoBlue Handpiece(Required)

Recommended every 5 million shocks

Enter shock count for Blue Handpiece(Required)

Recommended every 5 million shocks

Enter shock count for Power+ Handpiece(Required)

Recommended every 600k shocks

Enter shock count for Standard(Required)

Recommended every 1 million shocks

Please specify your issue:(Required)

Preferred Time:(Required)

Additional Comments

Should you encounter any issues with the booking form, please fill out the Service Form PDF and send it to: service@ems-oceania.com

Service Form PDF

Brett_Humphreys_Square

Brett Humphreys
After Sales Manager

1300 4 69 367
service@ems-oceania.com

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