How do I schedule a Guardian Brace Clinic Call

1. Fill out the Clinic Call Worksheet (the best you can) This enables Guardian Brace to have the right representatives on the Clinic Call.

Very important because we will only get one chance.

2. After the Clinic Call form is completed a representative from Guardian Brace will review it and contact you about setting up the call. They will walk you through how to book a call time with the Guardian Brace team.

3. You can join the Clinic Call if you like. The Guardian Brace team will discuss all aspects of the AI software and answer any questions.

Clinic Call Follow Up - Our team will reach out to you after the Clinic Call. This is your potential client and we may need your assistance with follow-up communications and information.

If you have any questions, please let us know.

Have you signed a Pro Players Business agreement?

Yes

Your name

First Name

Last Name

Your email

Your cell number

(###)

###

####

Client referral type

ORTHOPEDIC CLINIC

DURABLE MEDICAL EQUIPMENT (DME)

DISTRIBUTOR

CHIROPRACTOR

VA HOSPITAL

OTHER

Clinic name

Doctor's name and specialty?

Clinic address

City and state of Clinic?

Email for the Clinic?

Are they doing their DME in house? If not, who do they refer it to?

What is the DME manager's name?

DME manager's phone number?

DME manager's email address?

What brand of bracing does the Clinic prefer? (i.e.., Breg, Don Joy, Ossur, etc.)

How many Physicians in the Clinic order knee bracing?

How many locations/offices? How many provide DME?

Any other information we should know ahead of a call?

Please tell us about your relationship with this doctor

Option 1 for a Clinic call day and time:

Option 2 for a Clinic call day and time:

Option 3 for a Clinic call day and time: