miniComfort^® Free Trial – for dental professionals only

ROE is offering one free miniComfort^® appliance (charged at $59 with full rebate).
This trial is for one traditional guard-wearing doctor, spouse, or a full-time staff member.
Please complete the form below to receive via email the miniComfort^® Free Trial Rx.
Submit the Rx with models or digital impressions to complete the order.
Our only request in exchange for the rebate is that the patient makes an earnest evaluation (daytime and/or nighttime use) and completes a two-to-three minute survey three weeks after receiving miniComfort^®. This will help us continue to document the outstanding success of the appliance.
The link to the survey is included in the email you will receive as a result of completing the form below.

Free Trial Order Form

Name*
First Last
Dental Practice Name*
Work Phone*
Work Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country