Convatec Continence Care | Request Free Product Samples

Know that you have options!

We understand that figuring out which catheter may be right for you may be the last thing on your mind, but we’re here to provide options and help figure it out with you.

Complete this form to try the latest Convatec catheter technology for yourself.

Know that you have options!

We understand that figuring out which catheter may be right for you may be the last thing on your mind, but we’re here to provide options and help figure it out with you.

Complete this form to try the latest Convatec catheter technology for yourself.

*Required

First Name*

Last Name*

Address Line 1*

Address Line 2

City*

Province*

Postal Code*

Country*

Telephone (do not include spaces)*

Email Address*

Please select the product you're interested in*

GentleCath Glide™ Hydrophilic - Men

GentleCath Glide™ Hydrophilic - Women

GentleCath™ Uncoated - Men

GentleCath™ Uncoated - Women

Cure Catheter™ Uncoated - Men

Cure Catheter™ Uncoated - Women

Cure Catheter™ Uncoated - Pediatric

Cure Catheter™ Hydrophilic - Men

Cure Catheter™ Hydrophilic - Pediatric

Cure Twist® - Women

Cure Ultra™ - Men

Cure Ultra™ - Women

Cure Catheter™ Closed System - Unisex

Cure Catheter™ Pocket Catheter - Men

Catheter Size*

Catheter Tip*

Notes

How we use your data

Treating your personal data with care is important to us. Please read our privacy policy where you can find detailed information on how we protect and use personal data.

How we use your data

Treating your personal data with care is important to us. Please read our privacy policy where you can find detailed information on how we protect and use personal data.

Email

From time to time, we (Convatec) would like to send you commercial electronic messages (emails) for the purpose of communicating promotional information (marketing messages) about Convatec products, services, news, and events. By ticking the box, you consent to us emailing you for this purpose.

You can opt out of receiving marketing messages anytime by contacting us by telephone at 1-800-465-6302, or by email at convatec.canada@convatec.com. You may also click on the ‘Unsubscribe’ link in the footer of the emails you will receive.

Please note our calls come from number 1-800-465-6302 or as potential spam.

You can opt out of receiving marketing messages anytime by contacting us by telephone at 1-800-465-6302, or by email at convatec.canada@convatec.com. You may also click on the ‘Unsubscribe’ link in the footer of the emails you will receive.

Please note our calls come from number 1-800-465-6302 or as potential spam.

Multiple or single choice

*I agree to the processing of my personal data (name, surname, email address) by Convatec for the purpose of completing my product sample request. I know that providing data is voluntary, but necessary for the Customer Relations Center product specialist or nurse to assess which product(s) best meet(s) my specific requirements.

Request Free Samples

GentleCath™ & Cure™ Intermittent Catheters

Request Free Samples

Know that you have options!

Know that you have options!

How we use your data

How we use your data

GentleCath™ & Cure™
Intermittent Catheters