Cranial Technologies


Cranial Technologies Distributor Program

We’re excited to offer you the opportunity to participate in our new Cranial Orthotic Banding Program. This program is specifically designed to enable providers like you to deliver industry-leading outcomes for infants with plagiocephaly.

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Company Information

Physical Address(es) for Scan Site(s)
Primary Business Focus (Check All That Apply) 

Clinical Background

Do you currently have referral relationships with Physicians, PT/OT Clinics, or Hospitals? 
Do you have a private space to conduct 3D imaging? 
Have you worked with cranial orthoses or plagiocephaly/torticollis treatments before?  
Are you currently accredited as a DMEPOS supplier? (Select all that apply)
Do you or your team have experience in any of the following areas? (Check all that apply) 
Are you currently enrolled/contracted with Medicaid or Private Insurance Payors?  

Partner Commitment

Are you prepared to invest in the necessary imaging equipment required to perform patient evaluations as part of the Cranial Technologies program? 
Would you require Cranial Technologies assistance or support in customer acquisition and marketing?
Before Submission, please confirm: