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Customers Say

‘My life has changed, I cannot wait to use them all the time – they are brilliant.’
Mrs M.P. – Surrey


Request Samples

For free product samples please complete the form below.  Samples can only be sent to addresses within the United Kingdom.

* these are mandatory fields


Title:*
First Name:*
Surname:*
Address:*

Post Code:*
Tel Number:*
Email address:*
Gender
Type of Stoma: FreeStyle Vie is only
suitable for Colostomates

Date of Birth:
Stoma mm :
Currently using:
Drainable Urostomy Pre Cut Cut to Fit
Please send me a sample of: : Pouches
Name of Current Delivery Service:
Other Comments:

I understand that this request will be processed by CliniMed Ltd. I would like my details to be kept on file so that I can be kept up to date with information about relevant new products and services. Please note - A member of the CliniMed Careline team will contact you by telephone to check we are sending you the correct sample. This conforms to our privacy policy.

Please enter the code below in the box, this is to stop spam and prove the form was filled in by a real person.
 

 

 

CliniMed Ltd,Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks, HP10 9QY Telephone: 01628 850100 Fax: 01628 850331

BHTA number: 0000549 VAT number: GB578174795 Registered in England number 01646927