REFER MY PATIENT

If you have a patient that may be a good candidate for a home FES cycling program, please refer them to MYOLYN by filling out the form below with your name and contact info and the patient's diagnosis. A Patient Sales Advocate will follow up with you to obtain the patient's information. Alternatively, you can call us directly at 352-204-9066 extension 1 or fax the referral to us at 352-204-9588.