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At Coloplast, we understand the importance that finding the product that fits your needs. The right product should help you manage your symptoms, but not restrict you or limit you from certain activities or living the lifestyle you want. The SpeediCath^® family consists of a wide range of instantly ready-to-use catheters that offer safe and simple catheterization for catheter users of both genders.

Because intermittent catheters are a prescription product, we require verification of a valid intermittent catheter prescription before we can send samples. Please be sure to provide your catheter supplier and/or clinic information when requesting samples so that we may verify your prescription on your behalf.

*First name:

*Last name:

*Address:

*City:

*State:

*Zip code:

Email address:

Phone number:

*Is this is cell phone or a land line?Cell Phone
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What SpeediCath® Catheter would you like to sample?

If other, please specify

Who makes your current catheter product?

If other, please specify:

Catheter French size:

To get your samples faster, please provide your birthdate and supplier and/or clinic information so that we can confirm your prescription on your behalf.

Date of birth (MM/DD/YYYY):

Where do you buy your catheter supplies?

Name of clinic:

Name of prescribing doctor or nurse:

Clinic phone number:

Please help confirm my catheter prescriptionI give Coloplast my consent to contact my supplier, clinic, doctor or nurse to confirm my catheter prescription.

Coloplast Confirmation of Consent

I agree that Coloplast may use, process, and store the information I have entered, including my sensitive health data, to provide product information, as well as education and support as necessary. If applicable, the information may also be shared with a health care provider or medical equipment company to help order supplies, or with Coloplast’s affiliated companies, who may reach out regarding products and related supplies. Coloplast may reach out by phone, including to a cell phone if I provide that number, by text message, e-mail, or mail. Consent may be withdrawn at any time by e-mailing privacyrequests@coloplast.com. I acknowledge and agree that I have read and agree to the Coloplast Declaration of Consent

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"SpeediCath is life changing"

Julie was diagnosed with Multiple Sclerosis in 2007, at the age of 27. As a result, she began experiencing urinary symptoms and had to start using catheters. Julie shares how using SpeediCath Compact catheters has impacted her life. Disclosure: Coloplast invited Julie to share her experience and provided compensation for this information

Watch Julie's story

"SpeediCath is life changing"

View and sample female catheters

"This catheter has changed my life completely"

From the ‘dark days’ of being housebound by his bladder, Dan is able to do more and feels more “Dan” again, with the help of SpeediCath® Compact Male.

Watch Dan's story

"This catheter has changed my life completely"

View and sample male catheters

Important Safety Information

SpeediCath^® catheters are prescribed for use by pediatric patients (neonates to age 21) and adults who require bladder drainage due to chronic urine retention or post void residual volume (PVR). Before use, carefully read all of the instructions. Call your doctor if you think you have a UTI or can't pass the catheter into the bladder. For more information regarding risks, potential complications and product support, call Coloplast Corp. at 1-866-226-6362 and/or consult the company website at www.coloplast.us.

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