Step 1 of 8 12% The First Step is to See if You Qualify See if You QualifyHow long have you been suffering from pain?(Required) Less than 6 months 6 to 12 months More than 12 months See if You QualifyWhere is your pain located? (Please select all that apply)(Required) Neck Upper Back Mid Back Lower Back Buttocks Groin Chest Belly Arm(s) Leg(s) Foot/Feet Other Select All See if You QualifyOn average, rate your pain level over the past 30 days:(Required) 10 - Worst Pain Imaginable 9 8 7 6 5 - Moderate Pain 4 3 2 1 0 - No Pain See if You QualifyWhat statement describes you best?(Required) Epidural Injections Nerve Ablation Spine Surgery Spinal Cord Stimulation Implantable Pain Pump Physical Therapy Chiropractic Care TENS Unit Other See if You QualifyWhich treatments have you already tried? (Please select all options you've tried)(Required) I'm exploring my treatment options before I find a pain specialist I'm exploring my treatment options with a pain specialist My doctor has recommended a spinal cord stimulator and I am considering it. Other See if You QualifyPlease select your primary type of health insurance:(Required) Commercial Insurance (typically offered through employer or health care exchange) Medicare/Medicare Advantage Medicaid Military (TRICARE/VA/Veteran’s Choice) No Insurance/Self Pay Unknown Other Good news! Based on your responses, Excel Surgery's Spinal Cord Stimulators could be an option for you. Fill in your information below to connect with Excel Health. Our team will answer any questions you may have and help you schedule a consultation with our medical team.First Name Last Name Email PhoneConsent I agree to these termsPlease use my information to provide me with phone, email, or text message communications about Spinal Cord Stimulators and other health information. I understand these communications may include advertisements for goods and I can unsubscribe at any time.
