Biodex eLearning Course, Physical Medicine (WB-Generic)

Physical Medicine

Biodex eLearning Center

If you are interested in taking a Biodex eLearning course please fill in and submit the form below. Upon receipt, a Biodex representative will contact you to complete your eLearning registration.

If other, please specify below:

Reason(s) for interest in eLearning course:*

I have recently purchased this product and would like to learn more about it.

There are new clinicians at my facility who need to be trained on this product.

I am considering buying this product and would like more information about it.

Other

If other, please enter reason below:

If your facility owns a Biodex device, please enter serial number below:

First Name*	Last Name*

Job Title*

Facility Type*

If other, please describe below:

Discipline*

Facility Name*

Address 1*

City*

State / Province*

Zip / Postal Code*

Country*

Email*

Phone

Additional Comments:

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