Information and testing services for chronic pain and TMJ

CLINICIANS REGISTER NOW TO RECEIVE YOUR USER NAME AND PASSWORD ALONG WITH YOUR FREE SCORINGS

Pain Management Specialists, Dentists, Physicians, Psychologists and other licensed medical professionals

If you would like a Free Trial of the Chronic Pain BatteryTM test for use with your patients

Please Complete the form below

You will receive an email with your User Name and Password and instructions how to Log On to your new account and use your two (2) Free Chronic Pain Battery Scorings. You can also register by calling 800-542-7246. We will not share your information with any 3rd parties.

Please allow up to 24 hours for your request to be processed.

Please provide all required information:

 

First Name (required)

Last Name (required)

Clinical Degree-DDS, MD, PhD (required)

Specialty (required)

Name of Clinical Practice (required)

Address Line 1 (required)

Address Line 2

City (required)

State (required)

Zip/Postal Code (required)

Country (required)

Your Email (required)

Telephone Number (required)