$100 for Marketing Survey

To receive your $100 rebate for bilateral LipiFlow® Treatment Marketing Survey, download (by clicking on button below) and complete the survey form.  Send the completed form and the original LipiFlow payment receipt from your eye care practice in an envelope to:

LipiFlow $100 Rebate Program
Dept. 11007
PO Box 5016
Stacy MN 55078-5016

You must have received your bilateral LipiFlow treatment between May 15, 2016 and July 31, 2016. LipiFlow treatments received as part of a clinical study or treatments where part was reimbursed by a private insurer do not qualify for rebate. Completed rebate form and original purchase receipt must be postmarked on or before August 15, 2016.  Please allow 8 weeks for receipt of rebate check. One rebate per LipiFlow patient. Duplicates will not be accepted.

For rebate status, call 1-877-846-1851 or go to tearscience.mycheckstatus.com

For general questions, email customerservice@tearscience.com

Click the button to download Marketing Survey Form: