Search icon magnifying glass

HIFU Evaluation Request

 
HIFU Machine

Request an evaluation for High Intensity Focused Ultrasound

This form is for patients with tremor and referring providers who would like a patient evaluation for high intensity focused ultrasound (HIFU) to treat tremor-dominant Parkinson’s disease or essential tremor. HIFU is an innovative, non-invasive FDA-approved procedure helping transform the quality of life for people with these conditions.

* Indicates required

Patient Information