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Please provide the following information to get your free SpeediCath samples. Questions? Call us at 1-855-814-2355

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.

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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.

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Coloplast Confirmation of Consent



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