Request samples

Please complete the below form to request samples for your practice. Sample quantities are replenished at the beginning of each month and once quantities are depleted, the process is closed for the remainder of the month.  Please note, we try to accommodate as many requests as possible, but we do have a limited supply of free samples.  We apologize for the inconvenience.

Please note: Any changes to your practice shipping information will require us to revalidate the location as a professional practice location. Only practice locations may be submitted, and all submissions will route through our validation process. The approval process usually takes XX days to validate, and you will receive a notification via email once approved.


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