Survey

STOP suffering from back pain... we can help you!

If you are currently consulting a physician due to back pain and still continue to live in discomfort, then our non-surgical back pain relief product may help you live a better life! Life Quality Health Care Solutions specializes in home delivery of advanced durable medical equipment to people just like you at little or no cost.

Free delivery. No confusing paperwork. Find out if you qualify now!

Life Quality Health Care Solutions is a Medicare approved provider of orthopedic pain relief systems. Medicare and most private insurance companies will cover the cost of your new back brace pain relief system. Our goal is to work with you and your insurance company to help you get the medical supplies you need at little or no cost.*

You won't be bothered with confusing insurance claim forms; we will take care of everything for you. Life Quality Health Care Solutions will deliver your new back pain relief system directly to your home. There is never a delivery charge.

*Standard deductibles and co-payments may apply.

*Medicare coverage required

*It is unlawful to falsify medical information


First Name	Last Name	Date of Birth

Address	Apt/Unit #

City	State	Zip (5 digit)

Primary Phone #	Alternate Phone #	Email Address

Have you been diagnosed by a licensed physician for any of the disorders listed below?

Lumbosacral Spondylosis, Spinal Disorder, Lumbar Disc Displacement, Spondylolisthesis, Lumbar/Lumbosacral Intervertebral Disc Degeneration, Lumbar Strains/Sprains, Spinal Stenosis, Lumbago

Are you currently consulting a doctor for your back pain?

Are you interested in receiving a back pain relief system at little or no cost to you?

Select your primary insurance type:

By submitting my information I request Life Quality Health Care Solutions to contact me by telephone and email

This promotion is conducted exclusively by Theuseful. To receive the gift for this promotion you must: 1) register with valid information; 2) complete the user survey; 3) complete at least 8 Silver, 8 Gold and 8 Platinum offers. Available offers will vary and some offers may require a purchase to qualify. Receipt of your item requires compliance with offer terms, including: age and residency requirements; registration with valid email address, shipping address and contact phone number; completion of user survey and sponsor promotions. Upon valid completion of all Program Requirements we will ship your item to the shipping address you provided. Unless otherwise indicated, participation eligibility is restricted to US residents, 18 and over. Void where prohibited.