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If you feel ready to begin treatment, please complete the following.

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Treatment and Trial

If you feel ready to begin treatment, please complete the following. A tinnitus consultant will contact you as soon as possible. For clinically suitable patients, a limited risk-free device trial period is available; If you decide not to continue use after the trial period, you may return the device (we pay for return shipping) without any fee or obligation.

Please indicate the best DAY and TIME for us to reach you, by phone, for your initial (free) phone consultation appointment. Services are available during normal business hours (Monday - Friday, 9-5).

How bothersome is your tinnitus? Please rate it below. (1 = very mild, barely notice it. 10 = very bothersome, regularly interferes with daily life.)

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How do you feel about your tinnitus?*



Please take a moment to check your information before sending.

Please provide details about your condition on the next page.

We love what we do, and we love seeing patients feel better!

What People Have to Say About Our Tinnitus Treatment

Tinnitus help

You people have been very helpful. My experience has been wonderful!

Tinnitus relief

I’m so grateful for what you guys are doing. You’re giving people hope, which is what’s most important.

We believe tinnitus treatment can work for you.

CALL US TODAY
855-984-6648
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Tinnitus Treatment Solutions LLC, Health & Medical General, Campbell, CA