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Please complete this form to order product samples of our intermittent catheter systems. Please provide all necessary information so that we can process your order as quickly as possible. As soon as we have received your order, you will receive a confirmation from us by email.

Note for healthcare professionals:
Please contact your local sales representative for samples or further information for all hospital products.



The Telephone field must contain between 6 and 19 digits and include the country code without using +/0 (e.g. 44xxxxxxxxxx for UK)

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Please note: Intermittent Catheterisation (IC) should only be carried out after medical or nursing guidance (also including the hygienic measures necessary).

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