Club EndoStim
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Interested in sharing your story with other patients?

Do you have your life back because of EndoStim? Become an EndoStim ambassador to share your experience with other patients!

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Become an EndoStim Ambassador

Full name*

E-mail*

Phone

Address

Preferred method of contact
E-MailPhone

When was your EndoStim implanted?

In which hospital did you receive EndoStim?

How would you like to share your story?
I am available for a video interview about my experienceI would like to share my experience in writingI am available to speak with journalists who want to report about EndoStimI am interested in speaking with other patients who are considering EndoStim

By clicking "Send", you agree that the EndoStim will contact you with further information about the ambassador program. You may withdraw your consent at anytime.

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