Surgical Registration Form Please use this form to register surgical interventions related to VNS Therapy Name of Hospital * City * Treating Clinic * Adult Child Reason * New Patient Implant Exchange - replacement of generator Explanted - lack of effect Explanted - deceased Explanted - infection Old Serial Number New Serial Number Thank you for your submission.Click the link below to register a new surgical intervention.https://www.gonorthmedical.com/surgicalinterventionform
