Enquiry — NeuroAiD II

Australia toll free: 1-800-037-942 | UK toll free: 0-808-189-1068
Singapore direct line: +65-6211-3710 ext 151

Make the most out of your precious recovery

This form allows the NeuroAiD™ product specialists to better understand your specific case in order to give you an appropriate answer.

Our well trained and dedicated staff will get back to you within 1-2 business days . All particulars remain strictly confidential.

(Please note that fields with * are mandatory)

Step 1 of 2

When did the stroke occur?*
Stroke details
Who suffered from stroke?*
Patient's name
Patient's surname
Patient's age
What type of stroke was it?
- Ischemic (blood clot)
- Hemorrhagic (rupture of a blood vessel)
What disabilities did it cause?
- Motor disabilities
- Sensory loss
- Aphasia (speech loss)
- Visual loss
- Memory loss
How much is the patient independent?

Contact information
First name*
Last name*
Email*
Enter Email Confirm Email
Country*
Home Phone*
Mobile Phone
What questions do you have about NeuroAiD II?
- I would like to subscribe to the NeuroAiD newsletter
This field is hidden when viewing the form
SEM Referer
This field is hidden when viewing the form
SEM Adset
Comments
This field is for validation purposes and should be left unchanged.

By submitting this form, I agree to the privacy policy and understand that I will be contacted by Moleac & NeuroAiD team via the contact methods submitted.

Before submitting your enquiry, please note that your doctor is in the best position to advise you on the ideal treatment for your individual situation. In case of doubt, always seek advice from your doctor.

Moleac Pte Ltd Helios #09-08, 11 Biopolis Way Singapore 138667

Make the most out of your precious recovery

This form allows the NeuroAiD™ product specialists to better understand your specific case in order to give you an appropriate answer.

Our well trained and dedicated staff will get back to you within 1-2 business days . All particulars remain strictly confidential.

(Please note that fields with * are mandatory)

Step 1 of 2

Stroke details

Contact information