Please provide the following information to get your free SpeediCath samples. 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.

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.

Is this a cell phone or a land line? *

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.

Please help confirm my catheter prescription

Coloplast Confirmation of Consent


 

Close

Order your free samples

Thank you for your order

Your order is complete!

View desktop version