Request a kit

Find a Pain Specialist Near You

Enter Zip or City, State or State

e.g. 75024 or Plano, TX or TX

Home > I Currently Have an SCS System > I Have a Permanent System > Update Your Registration Info

Update Registration Info

Do you have a new address, telephone number or doctor? If so, please use the form below to notify us of any changes in your contact information or follow-up/attending physician. This will enable us to keep your patient records current and accurate and to send you an updated Identification Card. If you would prefer, you may call us at 800-727-7846 or write us at St. Jude Medical, Customer Service, 6901 Preston Road, Plano, Texas, 75024.

  *  Indicates fields are required
 
New Address: 
*First Name: 
*Last Name: 
*Email Address: 
Address: 
City: 
State: 
Zip Code: 
Phone: 
Date of Birth (MM/DD/YY): 
Model Type: 
Serial Number (if known): 
Serial Number (if known): 
New Physician: 
Physician Name: 
Office Address: 
City, State, Zip Code: 
Telephone Number: 
Update Submitted By: 
* By submitting this information, you agree that St. Jude Medical may keep a record of it and may use it to respond to your request(s) and update your records. St. Jude Medical will keep this information confidential and will not sell, exchange, or publish the information you send us.