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The Neuflo™ System is not approved for sales in the United States and is limited to investigational use. If you would like to receive further information about Ionix Medical,™ Inc., the international clinical trial or about future U.S. clinical trials of the Neuflo System, please fill out the following:

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*First Name:

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Clinic/Company:

Title:

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How did you become aware of the Neuflo System?

How many physicians are in your office?

Do you currently treat BPH?

Yes

How many BPH patients does your practice treat annually?

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By completing and submitting this form, you are granting Ionix Medical permission to add your contact information to its database for Neuflo and consent to receiving future materials about Ionix Medical products and services.

Important: Ionix Medical respects the confidentiality of personal information. We assure you that we will not share your responses or personal information with others.

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