Order of the VIBRA during the Therapy

You can also order the VIBRA during the therapy. In this case, please fill in the online form below or complete the PDF and return it to us.

Form to Order the VIBRA during the Therapy

Order of the VIBRA afterwards

To order the VIBRA during the therapy, you already must have the device Pipi-Stop at home. If it is not the case, please order the Pipi-Stop and the VIBRA at the same time by using this other form.

Patient details

Thank you for giving only the details concerning the treated person.

Sending of the order

The VIBRA is optional and is not refunded by the basic health insurance. You may send us back the VIBRA wristband at any time, also before the end of the treatment.

Order the VIBRA by form PDF

1. Open the PDF
2. Print the PDF
3. Date and sign the PDF
4. Send the PDF: a) by post b) scanned version by e-mail c) by fax

Do you need help for your order

We are at your disposal on the phone to guide you, to fill in the form or for other questions.

Monday – Thursday:  08:00 – 12:00 and 13:30 – 17:00
Friday: 08:00 – 12:00

Tel.  +41 (0)32 – 751 27 95

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