I am a patient in the U.S. and will provide an "order for use" from a licensed health care professional

In the U.S., Alpha-Stim units are sold by or on the order of a licensed healthcare or mental health practitioner, such as a physician, dentist, podiatrist, nurse practitioner, chiropractor, naturopath, psychologist, MCSW, acupuncturist or physical therapist. Please check with your state's licensing board when in doubt.

Step 1 - Choose the Alpha-Stim That's Right for You

(See below to compare units…)

Step 2 - Consult With Your Healthcare Practitioner

• Download and print this PDF document:  Alpha-Stim Order for Use 621.62 Kb
• Complete all the sections of the Order for Use form except Step 3
• Give the form and rest of the package to your Health Practitioner
• Have your Health Practitioner complete and sign Step 3 of the form

Step 3 - Fax the Completed Form to 1-800-685-1241

You may also scan it and email it to orders (at ElectroMindBody.com) or you can mail it to us at: Mind Body Health Now, 12463 Rancho Bernardo Road, #502, San Diego, CA 92128.

TURNKEY OPTION If you would like to have us send the instructions and form to your healthcare practitioner for you, Click Here.

Compare Alpha-Stim Units Here

	Alpha-Stim® 100	Alpha-Stim® SCS
For Treating…	Acute, chronic or postoperative pain plus anxiety, insomnia or depression	Anxiety, insomnia or depression
Pain		NO
Anxiety
Depression
Insomnia
Treatment methods included…
Probes for Pain		NO
Self-Adhesive Electrodes for Pain		NO
Ear Clips for CES*

*Cranial Electrotherapy Stimulation

What You Get When You Order 

Alpha-Stim® 100	Alpha-Stim® SCS
Compact, portable Alpha-Stim 100 unit Set of 4 self-adhesive AS-Trode™ brand silver electrodes (good for approximately 2 weeks to 1 month of use) Electrode wires Two probes Ear clip electrodes 200 felt pads for use with the ear clips 100 felt pads for use with the probes 15 ml bottle of Alpha Conducting Solution™ (ACS) 9 volt battery Carrying case Illustrated Owner’s Manual Electric Body, Electric Mind DVD* (See Below)	Compact, portable Alpha-Stim SCS console unit Ear clip electrodes 200 felt pads for use with ear clips 15 ml bottle of Alpha Conducting Solution™ (ACS) 9 volt battery Convenient genuine leather carrying case which can be worn on a belt Illustrated Owner’s Manual
$895.00	$495.00

*Also included with your Alpha-Stim 100 order, exclusively from ElectroMindBody.com: Electric Body, Electric Mind DVD ($29.95 Value) This is the video edition of the Alpha-Stim 100 owner’s manual filmed on location at Hammons Heart Institute at St. John’s Regional Health Center in Springfield, Missouri. Learn how to set controls, see samples of protocols for pain management, and learn how easy it is to do cranial electrotherapy stimulation for anxiety, depression and insomnia control. Step-by-step instruction on how to get the best results from the Alpha-Stim 100. 30 minutes.

30-Day Trial & Money Back Guarantee

Because you may not experience results immediately upon first using your unit, we allow patients a full 30 days to try an Alpha-Stim® 100 or SCS. If dissatisfied, return the unit in its original saleable condition (including box and manual) to receive a refund of the purchase price minus a 15% restocking fee. Shipping charges are not refundable.

5-Year Manufacturer's Warranty

Each Alpha-Stim 100 and SCS is warranted to be free from defects in materials and workmanship under normal use for a period of five years except for replacement of batteries and accessories. See Owner’s Manual for complete details.