Pelvic Floor Intake | jogohealth

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First Name

Last Name

Email

Phone

Do you have a prescription for pelvic floor physical therapy or biofedback *

Yes, I have a prescription

No, I don't have a prescription.

JOGO-Gx is FDA 510 (K) Exempt. FDA registration number.: 3016735640.

FDA Owner Operator Number: 10069814

US Group National Provider Number (NPI) 1013537349

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