Rental Form


Contact us for an evaluation of rental costs according your case!

If you wish to obtain, without obligation of your part, any additional and confidential information over our treatment method, do not hesitate to contact us. 

By submit us your complete coordinates by filling the form below, it will be possible for us to refer you to one or the other of our franchisees, distributors or partners. Available everywhere in Quebec province, some other Canadian provinces and also in Europe (France). 

Following the reception of the form, we will have to contact you in order to give you more complete information about the nocturnal enuresis of your child. Also, to better inform you of the effectiveness of our treatment method, which has proven reliable for more than 45 years. You explain the use of the product, which is very sedentary, you give the cost of rental in your case and to also check if there is possibility for you to have a refunding of insurance.

Mrs., Mr.

Address:

Ville, Province, State, Country:

Zip Code:

#Tel.:

Age of the child:

E-mail:

Other questions:

Méthode Urino-Arrêt
436, rue des Hiboux
Lévis (Québec)  G6K 1L3  Canada
Quebec City and Area: (418) 659-7070
Toll Free : 1-866-557-7070
info@urino-arret.com



© Méthode Urino-Arrêt 2006

Conception : Atlante Communication