Free Lube 2 - Coloplast US
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Do you use an uncoated intermittent urinary catheter?

We are collecting insights about the use of manually lubricated intermittent catheters. It would be a great help to us if you would take a few minutes to fill out the form below to share a bit of information about your current catheter.

We can assure you that your information will be kept in strict confidence.

As a thank you for your help, we will send you a free water-based lubricant to be used with your uncoated catheter.

Complete and return the form below to get your free gift!

Yes! I would like a free 4 oz tube of lubricant.*

*Limit 1 free tube of lubricant per person.

Is this is cell phone or a land line?*

How would you rate your current catheter?*

Coloplast Confirmation of Consent


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