Prescription Information


Fill out the form below and you will be put in contact with a sam® Certified medical professional

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What condition will sam® Sport be treating?

  • Joint/Arthritic Pain
  • Plantar Fasciitis/Heel Spur Pain
  • Bursitis Pain
  • Tendonitis Pain
  • Hamstring Tear
  • Sciatic Pain
  • Carpal Tunnel/Tarsal Tunnel Syndrome Pain
  • Strains/Sprains/Pulled Muscle Pain
  • Muscle Spasm
  • Other

Please explain:

Are you presently seeing a Licensed Healthcare Practitioner for this issue?

Do you have any known allergies?

Have you undergone surgery for this condition within the last year?

Have you ever experienced an allergic reaction to a bandage placed on your skin?

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Form information email
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1. I give my permission for ZetrOZ™ to send my information to a Licensed Healthcare Practitioner and for either ZetrOZ™ or the Licensed Healthcare Practitioner to contact me for more information regarding my condition.


2. Buyer represents and warrants that Buyer has reviewed the User’s Manual and sam® Sport will be used only as specified by the manufacturer. Buyer represents that sam® Sport will not be used for the following contraindicated conditions:

  • Over an area of the body where a malignancy is known to be present

  • Over the eyes

  • Over or near growth centers until bone growth is complete

  • Over the reproductive organs

  • Over the pregnant uterus

  • Over a healing bone fracture

  • On the thoracic area if the patient is using a cardiac pacemaker

  • Over an active implanted medical device such as an implanted deep brain stimulation device

  • On the brain, spinal cord, or large subcutaneous peripheral nerves

  • Ischemic tissues in individuals with vascular disease where the blood supply would be unable to follow the increase in metabolic demand and tissue necrosis might result

3. Buyer indemnifies and holds harmless ZetrOZ™, its managers, owners, and affiliates from any possible injury/harm from use of any products sold by ZetrOZ™ and agrees to only use sam® Sport as directed by their Licensed Healthcare Practitioner.


4. HIPAA Information Handling Disclaimer: Information provided on this site will be delivered to a Licensed Healthcare Practitioner experienced in the application of the sam® Sport device. Information provided to ZetrOZ™ will not be sold or otherwise distributed to third parties for the purposes of disseminating promotional information to you. However, ZetrOZ™ and its affiliates do NOT guarantee the security of this information and Buyer indemnifies and holds harmless ZetrOZ™, its managers, owners, and affiliates from any unintended dissemination of personal information provided herein.


5. Buyer represents and warrants sam® Sport is intended to be used only on Buyer and Buyer is not under 18 years of age, using a pacemaker, suffering from poor circulation, or pregnant. Buyer represents and warrants that he or she will consult with a Licensed Healthcare Practitioner to determine whether sam® Sport is right for Buyer’s particular condition and overall health prior to completing the purchase of the sam® Sport kit.


6. Please refer to the terms and conditions for more information.


7. Information and advice published or made available through, or from ZetrOZ™ customer support representatives are not intended to replace the services or direction of your Licensed Healthcare Practitioner.