HWConnect 2025 Giveaway Terms and Conditions CMT Medical Giveaway "*" indicates required fields Which best describes you?* Client / Patient Therapist / Doctor Clinic / Hospital Name* First Last Suffix Email* Enter Email Confirm Email PhoneLicense NumberFacility/Company Name*Website Populations treated? Adult & Pediatric Adult Only Pediatric Only Modalities you offer clients? SoftWave Pelvic Floor Stimulation TENS Ultrasound sEMG Biofeedback Dry Needling Send me information about? SoftWave Shockwave EMYO-Pediatric Biofeedback Home Rental Program Rx Pad Program Affiliate Program Address* Street Address Address Line 2 City State *AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Other modalities you offer, suggestions, or products you would like us to supply? Δ
