Let’s get your client portal set up

Registration

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"*" indicates required fields

Clinic name

Contact Person*

Title

Email address*

Phone number*

Website

Address

City State / Province / Region ZIP / Postal Code Country

Clinic Type*

Clinic Type (Other)*

Approximately how many patient visits do you have each month?

Under 100

100–250

250–500

500+

Which machines interest you? ( Check all that apply)

H2Vantix 1800

H2Vantix 3000

H2Vantix 4200

H2Vantix 6000

Not Sure

How many machines are you considering?

1

2

3

4+

When would you like to begin?

Immediately

Within 30 days

1–3 months

Just researching

How would you prefer to acquire your equipment?

Purchase

Down Payment with Monthly Payments

Zero Down Financing Option

Recommend the Best Option