Biofeedback Order Form
Please complete the Form below to order a biofeedback device.
Please Note: This Form may be filled in and printed if you prefer to fax or post your order.
We will contact you to finalise your payment.
Name(s):
Postal address:
Postal Address2
Town:
Email contact:
Pelvic Floor Exerciser (PFX) Replacement vaginal sensor Replacement tubes Peritron 9300 v
