Please complete and submit the form below. Within 2 weeks of receipt of the completed form, a VNS Therapy nurse case manager will call you for a brief interview, confirm your participation in the program with your psychiatrist and set up a brief training session. Please feel free to call 877-NOW-4VNS (1-877-669-4867) if you have any questions or would like to request an application in the mail for the Advocates program.
If you do not live in the United States, please go to our International website for more information.
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