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Order your free product samples (UK Residents only)

Complete this form to order Teleflex Care at home products. Please provide all necessary information so that we can process your order as quickly as possible. As soon as we have received your order, you will receive a confirmation from us by email.

If the catheters are suitable for your needs, please talk to your Health Care Prescriber with the ordering information detailed on the packaging.

For more information, please call us on 01494 53 27 61.

Samples

Doctor Nursing staff User Distributor

Intermittent Catheter with Hydrophilic Coacting

Liquick X-treme

The pre-activated, hydrophilic coated catheter

Liquick X-treme Plus

The pre-activated, hydrophilic coated catheter with preconnected urine collection bag

Liquick Base

The SafetyCat catheter with a hydrophilic coating

Liquick Pure

The SafetyCat for women (15 cm length) with a hydrophilic coating

Intermittent Catheter with Lubricating Gel

SafetyCat Active

Gel pre-coated catheter system

All of the above are 'no-touch' catheterisation systems.

Request for documentation

Please send me the following print products:

Teleflex Guide to intermittent self catheterisation (men)
Teleflex Guide to intermittent self catheterisation (women)
Intermittent catheter systems: our contribution to your safety & comfort
Liquick X-Treme and Liquick X-Treme Plus

Your message to Teleflex:

Address

Declaration of consent

I have read the privacy policy and I consent to the processing of my personal data in accordance with this declaration. *

Teleflex would like to inform you about products and new offers. We need your consent (as described in detail below) to process your personal information, to be allowed to contact you.

Please tick the type of information for which Teleflex may process your details in order to contact you.

Postal sending of samples of urological medical products of Teleflex and contact by telephone or email in order to advise me on the selection of product samples and to supply me with desired product samples. I may be contacted by phone or email to ensure correct handling of the product samples and to give feedback about satisfaction with the product samples. *
Sending/notification of information about urological medical products of Teleflex (via email, mail, phone, fax & SMS)
Sending invitations to surveys (including questionnaires) on urological products of Teleflex (via email, mail, phone, fax & SMS)
Sending of email newsletters
Telephone calls to consult and inform you on urological products of Teleflex
Note: You may decide at your own discretion to grant or deny any or all the above consents. If you give us a consent, you remain entitled to revoke your consent(s) at any time and without giving reasons. If you revoke, your above-mentioned data will no longer be processed for the above-mentioned purposes by Teleflex from the time of receipt of your revocation declaration. You can inform us of your revocation informally, in particular by: (email to) info.uk@teleflex.com; (letter to) Teleflex, Grosvenor House, Horseshoe Crescent, Old Town Beaconsfield, HP9 1LJ. If you wish to revoke only some of your above given consents, please let us know as well.

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