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Daavlin

Request Clinical Literature

Literature Request Form (*Required)


Name*
Company / Institution
Address
Address 2
City
State / Province
Zip / Postal Code
Country*
Email Address*
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Please send information regarding:
 
3 Series
PlasmaLux
1 Series
4 Series
ML24000
Melanoscan
7 Series
2 Series
UV Series
M Series
DermaPal®
Narrow Band UVB
UV Research Units
Lumera
Blue Light for Acne
Seasonal Affective Disorder (SAD)
Service
Extended Warranty
Maintenance Contacts
Conversions
Glasses, Goggles, Lamps
Current Pricelist
Other

In order to better tailor our products and offerings we would appreciate the answers to the following questions:

What skin disorder are you treating?
 
Psoriasis
Vitiligo
Eczema
Atopic Dermatitis
Other N/A

What body area are you treating?
 
Full Body
Face
Scalp
Hands  
Feet
N/A

What type of UV treatment are you interested in?
 
UVA
Narrowband UVB
UVA-1
Broadband UVB  
Blue Light
Not Sure

What phototherapy machines have you used?
 
N/A

How did you hear about us?
 
National Psoriasis Foundation
Vitiligo Support International
Internet Search
Magazine Ad
Doctor  (Name & Practice)
Trade Show
Other

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