Empi Active™ provides advanced, drug-free technology designed to target the
most challenging low back or knee pain while minimizing the dependence on pain medication.


Empi Active™ is a prescription device.

Healthcare professionals can register here for a FREE sample device
I'm interested in Taking the Empi Active Challenge.
As this is a demo device provided free of charge, you may not seek reimbursement for the product from either a patient or a third party payor.
If you're a Healthcare Professional licensed in the State of Vermont,
the demo will be reported in accordance with state law.

Knee
Back

First Name *

Last Name *

Practice Name *

Address *

City *

State *

Zip Code *

Phone *

Email *

Best time to contact you *

Empi customer number if known

Click here if you would like our representative to contact
a member of your staff to schedule an appointment.

Specialty *

How did you hear about Empi Active *

Approximately how many patients a day do you see with back pain?

Approximately how many patients a day do you see with knee pain?

Have you prescribed electrotherapy in the past few years?
If so, please provide a brief description of your experience.

* = Required


Healthcare Professional
NOW INTRODUCING: Active Knee now available to help relieve general knee pain in a simple, portable device.
Contact Your Rep

Click here to request your FREE Demo and take
the Empi Active Challenge.
For more information about other Empi products, please visit  Empi.com

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