Sales Refund Request or Loan Return Survey

See Below for the Sales Refund Request / Loan Return Survey

  • We’d like you to get the most from your Alpha-Stim. Most issues can be resolved with the assistance of our customer support, clinical support, or your local Alpha-Stim representative. If you’d like some more time with your Alpha-Stim while we assist you in the reason for your return, please contact us immediately at or by calling 1-800-FOR-PAIN instead of submitting this form.
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