Phone - PenileProsthesis.co.uk

Rigicon^® Phone Call Request Form

You can connect to our telephone support line of our Patient Education Coordinator 24/7 with the form below. When you fill out the form and click the button, you will be automatically redirected to the phone call window.

Phone(Required)

We request your phone number so that experts can reach out to you to assist you and connect you to a physician.

Email(Required)

We will send you a ticket email where you can ask questions and get answers.

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Condition

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Date of Lead

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Address

Country

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Lead Source

Have you seen your GP?(Required)

The NHS route may have an estimated waiting time of 12-15 months. Given this information, would you consider proceeding with the surgery privately for your treatment?(Required)

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Rigicon® Phone Call Request Form

You can connect to our telephone support line of our Patient Education Coordinator 24/7 with the form below. When you fill out the form and click the button, you will be automatically redirected to the phone call window.

Terms of Consultation Confidentiality

Rigicon^® Phone Call Request Form