By submitting this form AND submitting this information, I certify that I
personally entered my own information, and I give express consent authorizing Olympus Medical Group Corp to contact me at the phone number provided (mobile
phone as applicable) which may include direct calls auto-dialed calls, text messages, and artificial or pre-recorded voice calls, to discuss Orthotic Braces, TENS Therapy and other related products/services regardless of my inclusion on any State or Federal Do Not Call list. Consent is not a condition of purchase. *For insurance reimbursed offers; deductibles and co-insurance may apply.