D.D.S. Assistance with EDA - Electromedical Resources, Inc.

Dental Professionals, if you are interested in EDA (electronic dental anesthesia )and would like to incorporate it into your practice or you have existing patient requesting "Needle Free Anesthesia", please submit the form below (be sure to include E-mail address) or click and "expedite contact."

If you presently have a 3-M Dental TENS Unit, ask about our Trade-In Offer!

Please - Utilize Form:

!Be sure to include your E-Mail address or we can't reply!

Your E-Mail address here:

Please provide your patient's diagnosis/prognosis w/ notes and/or any comments below: (Also, if you would like to be added to our referral base for patients requesting Dentist with jaw pain, TMJ etc., experience in your area, please indicate below by including Name, Address, Phone #, Zip and Web Site Address.)

What type (s) of treatments have already been utilized? Click on initials for device information and/or choose by clicking box at right of description:

	MANS - Muscle and/or Peripheral Nerve Stimulation
	EDA - Electronic Dental Anesthesia
	HVPG - High Volt Pulsed Galvanic
	LVG - Low Volt Galvanic
	EMG - Electromyography
	EMS - Electrical Muscle Stimulator
	BGS - Bone Growth Stimulator
	IFS - Interferential Stimulation
	MENS - Microcurrent Electrical Stimulation
	TENS - Transcutaneous Electrical Nerve Stimulation
	Electrodes, Leadwires all accessories...

Were treatments (if any) successful (if treatments not included above please include below? ) Please elaborate:

What type of "Medical" insurance does the patient have?:

Thank you for utilizing our 20 years of DME experience!