Join our Advancis Medical Product Evaluation Thank you, we value your feedback on our Advancis Medical Eclypse line! Please fill out the following information and we will send you a survey after the selected timeframe of your patients’ visit via SMS. Full Name Clinic Name* medi Contact Name* Date Sample was Received Phone* medi USA will be sending your survey link via SMS after your selected timeframe of your patients visit, you may opt out of the second reminder by replying STOP Please confirm Opt-in receive SMS messages from medi USA Opt-in* Email* Eclypse Product Evaluation* Eclypse Eclypse Adherent Eclypse Border Expected Patient visit* This Week Next Week After 2 Weeks Submit
