Order free SpeediCath intermittent catheter samples 

Please select the intermittent catheter you would like to sample:*


I have had my continence needs assessed by a Healthcare Professional and prescribed to use intermittent self catheters*


By providing your personal and sensitive personal data on this form, you are consenting to Coloplast and Coloplast Charter using it for administration and analysis purposes and to process your order. We may share this information with healthcare professionals and other companies required for the delivery of your products or as required by law. We may also contact you to ask you to clarify your requirements and to ask you to complete customer satisfaction or other surveys, and may use 3rd parties to handle this as outlined in our Privacy Policy which can be found at Coloplast.co.uk/privacy. We often keep customers up to date with the latest information on the products and services we offer. Please indicate if you would not like to be kept informed by:




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