RNS System Patient ID Request Form

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Request a New Medical Implant Identification Card

For RNS-320 Patients

Questions? Contact customer service at 1-866-726-3876

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Answer 5 quick questions...

Are you taking this survey for yourself or a loved one?







1. How old are you?
1. How old is your loved one?
2. What type of epilepsy do you have?
2. What type of epilepsy does your loved one have?
3. Have you had any of these procedures?
3. Has your loved one had any of these procedures?
4. Do you still have seizures despite trying 2 medications?
4. Does your loved one still have seizures despite trying 2 medications?
5. Do you want to find an epilepsy center that offers the RNS System?
5. Does your loved one want to find an epilepsy center that offers the RNS System?

Let's see if the RNS System is available near you...

Optional
Are you receiving care at any of these hospitals?
Optional
Is your loved one receiving care at any of these hospitals?

Optional
Who are you seeing for your epilepsy care?
Optional
Who is your loved one seeing for epilepsy care?

It appears you may be a candidate for the RNS System!


If you would like to learn more about the RNS System or find a Comprehensive Epilepsy Center in your area, provide your contact info below, including your phone number, and a Nurse Educator will contact you.


If you would like to receive info on the RNS System via email only, provide your name, email, and zip code.






The RNS System is not currently FDA approved for patients under the age of 18. However, we are currently enrolling patients in the RESPONSE Clinical Study to evaluate the RNS System in teens ages 12 through 17. To learn more, click "Done".
 
It appears that you may not be an appropriate candidate for the RNS® System at this time. It is FDA approved for people 18+ years of age with focal epilepsy who are still having seizures despite trying two or more medications. 
It appears your loved one may not be an appropriate candidate for the RNS® System at this time. It is FDA approved for people 18+ years of age with focal epilepsy who are still having seizures despite trying two or more medications. 

The RNS System is not currently FDA approved for patients with generalized epilepsy. However, we will be enrolling patients in the NAUTILUS Clinical Study to evaluate the RNS System in patients with primary generalized epilepsy. To learn more visit  https://www.neuropace.com/providers/clinical-research/


Step 1 of 7

14%
    The RNS System is for individuals 18 and older who have focal epilepsy and have tried two or more medications without finding seizure control.

  • Based on your answers, your patient might benefit from the RNS System.

    Get your profile and a list of questions to ask your doctor.

  • Unfortunately it appears your patient is not an appropriate candidate for the RNS® System at this time.

  • The RNS® System is intended for patients who have undergone diagnostic testing that localized no more than 2 epileptogenic foci.

    If your patient has not undergone diagnostic testing, search here to find a comprehensive epilepsy center that can evaluate your patient, including determining if the RNS System is right for them.

  • If you are interested in learning more about the RNS® System, you can have an RNS® System professional contact you by filling out the form below:

  • By filling out this form, you are agreeing to the terms of our privacy policy. This form is intended for US residents only.

    By clicking submit, you are agreeing to receive communications from NeuroPace. You can unsubscribe at any time.

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Share your Story: Terms and conditions

By filling out the form and submitting your story (and/or photograph), you are agreeing to the following:

  1. NeuroPace may review the information and any photographs you provide for potential publication on our website.
  2. If NeuroPace decides to use your story, we will contact you and ask you to sign a release for a version of your story to be used on the NeuroPace website, Facebook, Instagram, Twitter and/or LinkedIn. Unless you sign the release, we will not publish the story, your name, or the photographs you provided.
  3. Regardless of whether we publish your story, we will add your name and e-mail address to the NeuroPace email list to hear from us about product updates, upcoming events and other relevant information. We will not sell your information to third parties. 
  4. Our use of your information is subject to our Privacy Policy, which you can access here.
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