Healthcare Professionals

Order your Male External Catheter samples

Please accurately fill out the form below. If you have questions about Coloplast catheters, please contact us by phone at

1-855-605-7588 or by email at

Please provide the following information for the individual with an ostomy requesting this product:
Is this a cell phone or a land line? *

Error : Can not create form


Order your free samples

Thank you for your order

Your order is complete!

View desktop version