Request a sample - stoma care, appeel - Essentials Accessories

Stoma Care

Continence Care

Wound Care

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For more information or samples call our careline free on, 0800 0360 100

Sample Request Form

If you would like to try a free sample of any product in the Essentials Accessories range, please complete the form below. If the form is left incomplete in any way, we may need to contact you by phone.

Please allow seven to fourteen working days for delivery.

For what purpose do you require samples :
Stoma care		Continence care	Wound care
Stoma type:
Ileostomy:		Colostomy:	Urostomy:

Please check the boxes of the samples you would like:
Appeel Can:
Appeel Wipes:
LBF Wipes:
HydroFrame:
Ostagel Sachets:
Morform:
Limone:
Hyperseal Washers:
We currently send samples to UK addresses only.
Name:
Address1:
Address2:
Address3:
Postcode:
Tel:
Email:
Comments:

	I understand that this request will be processed byCliniMed Ltd, I would like my details to be kept on file so that I can be kept up to date with information about relevant new products and services