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Have you been diagnosed with diabetic neuropathy & have pain in your feet or legs?

Why are we asking this?
Good candidates for HFX are experiencing shooting, burning, pins and needles pain from diabetes in their feet or legs.
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What type of diabetes do you have?

Why are we asking this?
Good candidates for HFX are experiencing shooting, burning, pins and needles pain from diabetes in their feet or legs.
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How long have you experienced shooting, burning, pins and needles pain from diabetic neuropathy?

On an average day, how would you rate the shooting, burning, pins and needles pain related to your diabetic neuropathy?

No Pain

0
1
2
3
4
5
6
7
8
9
10

Worst Pain Imaginable

No Pain

Worst Pain Imaginable

Why are we asking this?
Nevro HFX is approved by the FDA for severe pain from diabetic neuropathy that isn’t responding to prescription medications.
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Over the past six months, how often does your painful diabetic neuropathy impact your life or work activities, or sleep?

Where is your painful diabetic neuropathy located?

(Select all that apply)

Please select one or more answers Next

Are you currently taking, or have you ever taken prescription medications for your painful diabetic neuropathy?

Why are we asking this?
Nevro HFX is approved by the FDA for pain from diabetic neuropathy that isn’t responding to prescription medications, or where the side effects are unbearable.
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Which health care professional is currently helping to manage your pain?

Are you satisfied with your current treatment?

Please select your primary insurance:

Why are we asking this?

Understanding your insurance type helps us match you with providers in your area that accept your type of insurance.

HFX is covered by all major insurance plans, including Medicare & Supplemental plans, Medicaid, and the VA/Tricare, however Medicaid coverage can vary by state & we recommend reaching out to your specific plan.

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I answered these questions on behalf of:

HF10 is approved for the treatment of chronic intractable pain of the trunk and/or limbs. Only a physician can recommend a specific treatment option.

Thank you.

Unfortunately it's unclear at this time whether you are an appropriate candidate for HFX.


- If you have painful diabetic neuropathy, but are not satisfied with the level of relief from prescription medications, or the side effects are negatively impacting your quality of life, then you may want to talk to your primary care physician about alternative treatment options.


- If have another kind of neuropathy, or chronic nerve pain of the trunk (including back, hip, and pelvis) and limbs, then you may want to visit NevroHFX.com to learn about how HFX can help those pain conditions.

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Your pain condition appears similar to other patients being treated with HFXTM for PDN.

Please find a summary of your answers below

Pain score is:

8/10

Struggling with chronic pain for:

Over 3 months

Pain is located in:

Legs, Buttocks, Arms

I’ve already tried:

Epidural Injections, Back Surgery, Nerve Ablations

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