Axonics® Ambassadors

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By checking this box and submitting your information, you confirm that you have read and consent to Axonics' Privacy Policy and agree to the Patient Ambassador Program Request Terms.

Consent*

The Patient Ambassador program allows you to talk to someone who is a volunteer and experiencing the therapy. This person does not offer medical advice or technical support or replace conversations with your doctor. Please keep in mind that individual results will vary, so talk with your doctor about whether the therapy is right for you.

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