The purpose of this form is to gather feedback from healthcare professionals who have used Urolon™. With your feedback, we are able to improve Urolon™ treatment. In case of an adverse event or incident with Urolon™, please contact us directly via telephone or by email.

Feedback - Healthcare Professionals

Privacy: Your privacy and your patients privacy is our highest priority. Please do not share personal data or confidential health information. AQLANE Medical™ has and will enforce procedures to delete confidential health information from our system in line with the EU General Data Protection Regulation (GDPR).