Instructions for Obtaining E-Z Flex II
This section explains how you can purchase E-Z Flex II and begin your jaw rehabilitation:
- Step 1: Fill out the patient information on Prescription Form for E-Z Flex II.
- Step 2: Have your Healthcare Provider complete and sign Prescription Form for E-Z Flex II.
- Step 3: Fax or mail Prescription Form to TMD, LLC. A representative will contact you for pricing and order details.
Step 1 – Prescription Form
Please read the below disclaimer prior to completing the Order Form below:
Disclaimer: Individuals who believe that they may benefit from the use of E-Z Flex II must receive a thorough evaluation by their Healthcare Provider (dentist/physician) prior to using this device; E-Z Flex II should be used under the direction of and prescribed by their Healthcare Provider.
By completing and submitting the information below, you are acknowledging that you understand the necessity to have a thorough healthcare evaluation prior to and during the use of E-Z Flex II, and are agreeing to comply with the above terms and have your healthcare provider send TMD, LLC a prescription for E-Z Flex II.