Contact Us (Clinical Study)

Note: We are only accepting interest from potential investigators/sites located in the U.S.

"*" indicates required fields

Name*

First Last

Practice or Hospital Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

How many ureteral urinary stones do you treat in a typical week?*

What percentage (%) of the following patients you see have urinary stone(s) in the ureter or ureteropelvic junction (UPJ)?

Medical expulsive therapy (MET)*

Shock Wave Lithotripsy (SWL)*

Laser Lithotripsy (URS-LL)*

From time of initial contact with your clinic, what is the average time it takes to schedule a urinary stone patient to be seen for an evaluation?*

What is the average number of days from initial consultation to treatment with shock wave lithotripsy?*

What is the average number of days from initial consultation to treatment using laser lithotripsy*

Does your clinic participate in a “Stone Referral Line/Service” from the Emergency Room/Department?*

Yes

No

Don't know

Please describe the process how you receive urinary stone referrals for patients from a emergency department or hospital.*

Over the past 6 months, how many referrals per week has your clinic averaged from the ER/ED that had urinary stones?*

99561