Find a Pain Specialist Near You

Enter Zip or City, State or State

e.g. 75024 or Plano, TX or TX

Home > Request an Info Kit

Patient Information Kit Request

Don't let your pain stop you from doing the activities you enjoy. PREP (Pain Relief Education Program) materials can help you learn more about spinal cord stimulation as a treatment option for chronic pain.

Fill out the form below or call ANS Customer Service at 800-727-7846 to receive your PREP Spinal Cord Stimulation Information Kit.

The information kit contains a brochure introducing SCS as a treatment option for chronic pain and a video about SCS.

*  Indicates fields are required
 
*  First Name: 
*  Last Name: 
*  Address: 
*  City: 
*  State: 
*  Zip Code: 
If outside of US, please list Country: 
*  Phone: 
*  Email Address: 
Evening Phone Number: 
*  How did you learn about ANS?: 
Comments: 
*  Select Format: 
  I would like the Spanish version  
 
 *  I understand that I will receive an information kit, and that Advanced Neuromodulation Systems may send me additional information related to spinal cord stimulation treatment.

To ensure your privacy, ANS will not sell or share your personal information with any third parties or outside mailing lists except as required by law or as stated in our Privacy Policy .