myqufora UK Patient Sign Up
First Name
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Last Name
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Which Qufora IrriSedo product do you use?
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Select
Qufora IrriSedo Mini
Qufora IrriSedo Cone
Qufora IrriSedo Klick
Qufora IrriSedo Balloon
Qufora IrriSedo Bed
How often do you use your Qufora IrriSedo system?
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Daily
Alternate days
Twice per week
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How long have you been using your Qufora IrriSedo product?
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Less than 3 months
More than 3 months
By signing up to myqufora, you will be receiving correspondence from us. Please select which way you would like to receive this correspondence below
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