Share your story

Has HF10 worked for you? Please share your story and inspire others to liberate
themselves from chronic pain.

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  • Please read to the bottom of the agreement, and accept the agreement before you submit.

  • Consent to Use and Disclose My Health Information, Photograph, Video, and Testimony

    I agree to allow Nevro Corp. and its agents, affiliates, successors, and assigns (collectively, “Nevro”) to publish my photograph, name, and testimonial story, including medical and health information, about my experience with Nevro’s SENZA® Spinal Cord Stimulation System (“Nevro’s Product”) for marketing content, advertising, and other business-related purposes.  By clicking below to agree to the terms of this consent form, I agree as follows:

    I understand that any photographs or videos of me (“Media Images”) and/or Media Images captions, stories, or testimonials (“Testimonials”) may be used to describe my experience with Nevro’s Product.

    I grant Nevro the unlimited right, to edit, publish, broadcast, display, use, and reproduce the Media Images and Testimonials, including my individually identifiable health information, either in whole or in part, whether alone or in conjunction with other matters, for business-related purposes, including but not limited to advertising, education, and training.  The Media Images and Testimonials may appear in different formats and on various platforms, including but not limited to, websites, social media, television, audio, print, and video.

    Once I’ve submitted my Media Images or Testimonials to Nevro, I acknowledge that I will not be able to inspect or approve the Media Images or Testimonials before they are used.  I further agree that Nevro has no obligation to use any of the Media Images or Testimonials.

    I certify that I am eighteen (18) years old or older and give this consent of my own free choice.  I understand that I am in no way obligated to agree to these terms.  If I choose not to agree or provide my Media Images or Testimonial, my access to Nevro’s Products will not be affected.

    I understand that once I have agreed to these terms, I cannot change my mind and cancel it for any Media Images or Testimonials that have already been completed.

    Nevro, Nevro employees, and anyone accessing Nevro’s websites, social media platforms, or promotional materials may learn about my individually identifiable health information by participating in the Media Images or Testimonials and/or by observing the Media Images or Testimonials.


I am answering these questions for:

Myself A relative or friend

HF10 is FDA approved in the United States for the treatment of chronic intractable pain of the trunk and/or limbs. Only a physician can recommend a specific treatment option.

How long have you been suffering from pain?

Less than 6 months 6 to 12 months More than 12 months

Where is your pain located?

(Select all that apply)

Patient Assessment Body

Are you currently taking pain medication?

Yes No

On average, rate your pain level over the past 30 days?

No Pain

0 1 2 3 4 5 6 7 8 9 10

Worst Pain Imaginable

No Pain

Worst Pain Imaginable

Are you currently being treated by a pain specialist?

Yes No

Which treatments have you already tried?

(Select all that apply)


What does your pain stop you from doing?

(Select all that apply)


How old are you?

34 or under 35-44 45-65 65+

Please select your gender.

Male Female

Thank you for sharing your experience.

Unfortunately, chronic pain is complex and it is unclear if you are an appropriate candidate for HF10 spinal cord stimulation at this time. Only a physician can recommend a specific treatment, we suggest you continue this discussion with your physician.

Start Over

Your pain condition appears similar to other patients being treated with HF10.

Get your results and a discussion guide to share with your doctor.

Agree to terms

Please use my information to provide me with communications about HF10 and other health information. I understand these communications may include advertisements for goods and I can unsubscribe at any time.

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Thank you for your time.

Your results and discussion guide will be on their way shortly. Please find a copy at the email address provided.

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