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Home > Physicians & Health Care Professionals > Device Registration > {System} Registration

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Pain

Step 1. Patient Information

Step 2. Implant Physician Information

  -Enter information for Following/Attending Physician
  -Confirm Following/Attending Physician information

Step 3. Following/Attending Physician Information

Step 4. Device(s) Information

Step 5. Review and Submit Registration

 

 

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Medtronic
Patient: LastName, FirstName  
Following/Attending Physician Information
(physician will be listed on I.D. card)
Following/Attending Physician  
Last Name   First Name   MI
   
M.D.    D.O.      
First Specialty   Second Specialty
 

Telephone Number   Fax Number
( ) -   ( ) -
Address Line 1  
   
Address Line 2  
   
Address Line 3  
   
City   State/Province   Postal Code
   
Country   E-Mail Address
 
 

    Add second Following/Attending Physician
     
 
 

Next to second follow-up

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Diagnostic Device Demo Next

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Heart Valve Device Demo Next

Neurostimulation Device Demo Next

Pacing Device Demo Next

 

 

 

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