Provider Form

Help Patients Find You

Laborie Medical Technologies (LMT) invites you to the Find a Physician Tool. Help patients find you; complete the following to be added to our website listing. We will verify your listing within two weeks.

Specific Product Inquiry? Fill out our main CTA form

Enter your Information

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Practice Details
Practice Details 2
Terms and Conditions
  • The information provided within this form is accurate.
  • I have been trained by LMT on the proper use of the products selected
  • I have read the associated instruction manuals for the products selected
  • I acknowledge that LMT reserves the right to remove my information
  • I acknowledge that I can request my details are removed at anytime
  • I acknowledge this listing is not an endorsement of any particular provider
  • I acknowledge that the patient maintains the responsibility of selecting a provider
  • As LMT only lists information, your (my) acceptance of these terms will release and indemnify LMT from any liability with regards to any patient who contact you (me) through this listing.
  • I acknowledge LMT’s provision of this service is not to improperly influence purchase of products decisions.
  • LMT will review physician enrollment and case volume every 18 months. Failure to achieve the minimum product utilization will result in removal
  • I have read and accept all the terms and conditions stated above

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