Trouble Cathing? - Coloplast US
Find your Coloplast country website
Login to your Coloplast HCP area

Trouble Cathing?

Please provide the following information for the catheter user requesting this product: 
I currently use the following product(s):

Are you using a hydrophilic or water lubricated catheter?

By checking the box, I acknowledge:

Questions about your sample request? Please contact us by phone at 1-855-605-7588 or by emailing

*Privacy Statement

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  to request that communication be discontinued.


Order your free samples

Thank you for your order

Your order is complete!

View desktop version