Prescribe E-Z Flex II
If you are a Healthcare provider and would like to prescribe E-Z Flex II to one of your patients, please complete the prescription form and submit to TMD, LLC.
- Step 1: Download and print out the form called Prescription Form – E-Z Flex II.
(If you cannot view this form then download Adobe PDF Reader here)
- Step 2: Mail or fax the completed prescription form to:
Therapeutic Mobilization Devices
6 North Gate Road, Great Neck, NY 11023
Office: (212) 588-0993 | Fax: (516) 829-3423
Note: E-Z Flex II is a medical device meant to be used only by those individuals that have been diagnosed with disorders of jaw function. This is why we require that a Healthcare Provider has evaluated each customer and is supervising the use of this product.
Form for Prescribing E-Z Flex II