Online Orders - Ampcare ESP™

Ampcare Online Order Form

Date *
Purchase Order
Certification or Company Number *
Customer/Facility Name *
Billing Contact First Name *
Billing Contact Last Name *
Billing Contact Email *
Department
Billing Address Line 1 *
Billing Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country
Shipping *
Ship To Address IncludedUse Bill To Address for shipping
Ship To
Shipping Address Line 1
Shipping Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Shipping Contact Email *
Phone *
ESP Kit (Product 50706LT- Adult) Includes Powered Muscle Stimulator, 2 lead wires, Lead Wire Tester, 2 AA Batteries, 10 packages of Large E Series electrodes, Shoulder Strap Carrying bag and 1 Restorative Posture Device, 1 Box of TENS Skin Prep wipes
ESP Kit (Product 50706ST- Youth) Includes Powered Muscle Stimulator, 2 lead wires, Lead Wire Tester, 2 AA Batteries, 10 packages of Youth sized E Series electrodes, Shoulder Strap Carrying bag and 1 Restorative Posture Device, 1 Box of TENS Skin Prep wipes
Ampcare ES Unit (Product 50710LT) Hand-held, portable NMES unit, includes 10 packages of Large (Adult) E Series electrodes, 2 AA Batteries, 1 set of Lead Wires
Ampcare ES Unit (Product 50710ST) Hand-held, portable NMES unit, includes 10 packages of Small (Youth) E Series electrodes, 2 AA Batteries, 1 set of Lead Wires
E Series Electrodes (Product 50709LT- Adult) (4 Large electrodes per package)
E Series Electrodes (Bulk Quantity- Product 50709LT- Adult) (4 Large electrodes per package)
E Series Electrodes (Product 50709ST- Youth) (4 Small electrodes per package)
E Series Electrodes (Bulk Quantity- Product 50709ST- Youth) (4 Small electrodes per package)
Restorative Posture Device (RPD- Product 50707)
Restorative Posture Device Replacement Pads (Product 50708)
TENS Clean-cote skin preps (Product 50711) 50/box
Ampcare ES Replacement Lead Wire Set (Product 50712) 2 pair per set, Includes the Lead Wire Tester
Lead Wire Tester (Product 50713)
Ampcare Shoulder Strap Carrying Bag (Product 50714)
By checking this box, you are attesting to your e-signature *
Signature Confirmation
Additional Comments or Suggestions

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

What people say about us

"This course was fantastic! I learned so much and would highly recommend this to any of my colleagues. Thank you for making this presentation so digestible for the learner." - Kevin Renz Ambrocio, M.S., CCC-SLP, - Austin, TX

,

"Thank you, this was one of the most engaging courses I have taken in a long time. I have participated in other NMES trainings and they seemed to be too focused on the SLP being a tech than know(ing) the what, how and why we should be targeting a muscle group. I look forward to incorporating your product into my clinical practice." - LisaRose McCabe, SLPD, CCC-SLP, - Hasbrouck Heights, NJ

,

"Ampcare's design follows principles of swallow physiology more so than other e-stim devices out there. That's because the inventors are a group of practical and knowledgeable therapists. They have freely consulted with me over the phone regarding specific situations in treating dysphagia; their products and expertise are a huge benefit to the field and to my clients." -Mark Higginson, M.S., CCC-SLP, Owner of Speech Solutions, - Tucson, AZ

,

Thank you for a great course! I had my first Ampcare treatment today with a new CVA patient and all went well. My documentation will greatly improve in demonstrating medical necessity and I’m excited to have a great tool to help those who are appropriate. I’ve been competitor certified for several years and I’m embarrassed at how much I didn’t really know or understand despite attending the competitor's live training. Thank you for your commitment to our profession and our patient population.

,

"I can honestly say this is the only course that I have ever attended where I did not want to leave the room because I would miss some great info. This course was fantastic and every slide/topic was incredibly pertinent. Never a dull moment, and the material is incredibly practical to my clinical practice. Thank you!"

,

“Clear presentation – good labs – hands on assistance – instructor’s style conducive to learning.”

,

“Great presentation! Ampcare has provided a much needed alternative to dysphagia treatment.”

,

“Excellent class – went over all things in very explicit detail. Will make me a better therapist at what care I’m providing.”

,

“Presenters were very knowledgeable and passionate. Presented information in a way that made learning fun! “

,

“I thought it was the best E-Stim course I have ever taken, with excellent rationale for their protocol.”

,

"Excellent course! Loved the application & knowledge gained to exercise physiology! Really makes everything come together!"

,

“This CEU course was excellent and the instructors were superb! I would highly recommend it as the best dysphagia course I have taken to date!”

,

“As a provider in today’s health care environment, effectiveness, quality, and value are first and foremost on our dashboard. The Ampcare protocol, device, and electrodes deliver consistent treatment allowing patients to return to their least restrictive consistency and texture.”

,

"The Ampcare Team made learning fun, and has been accessible for any questions! Great new tool!"

,

2019 Overall Rating: 4.97 out of 5 stars