Available now - order your free samples and get your free gift!**

Please provide the following information to get your free SpeediCath samples and free gift! 

Questions? Call us at 1-855-814-2355 

SpeediCath catheters are prescribed for people with chronic urine retention or a post void residual volume due to neurogenic and non-neurogenic voiding dysfunction. There are separate catheters for men and women. Before using, carefully read all instructions. Call your doctor if you think you have a urinary tract infection or can’t pass the catheter into the bladder. Please read risk information and consult your health care provider to see if SpeediCath catheters are right for you.

Intermittent catheters are a prescription product. To get your samples faster, please provide your birth date and supplier and/or clinic information so that we can confirm your prescription on your behalf.

**Free gift subject to availability. While supplies last.

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Coloplast respects the privacy of your personal information and will protect the confidentiality of the information contained on this form. The only time the information may be used or shared is if it is (1) required by law; or (2) to provide you with information about Coloplast products, services and wellness education. You may be contacted by Coloplast, its agents, affiliates, contractors, or supply or service providers by telephone, email, US Mail, or other means of communication only for the purpose stated above. If you choose not to receive communication from Coloplast, please contact us at 1-888-726-7872 or email unsubscribe-us@coloplast.com  to request that communication be discontinued.


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