Elementor #34891

Who is this sample program for?

This free sample program is for ostomates who are dealing with leaks, poor adhesion, or short wear time and want to try a better solution.

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I have an ostomy

I use an ostomy pouching system and want help with leaks, adhesion, or wear time.

I do not have an ostomy

This sample program is reserved for ostomates only.

What problem are you trying to solve?

We prioritize samples for people actively dealing with leaks or adhesion issues.

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Frequent leaks

Leaks happen regularly and are affecting confidence, comfort, or wear time.

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Poor adhesion

My barrier or bag is not sticking as well as I need it to.

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No real issue

I am mostly curious and not currently struggling with leaks or adhesion problems.

Tell us a little more

This helps us understand your situation and what sample makes the most sense.

Ostomy Type

Current Brand / System

Typical Wear Time

Which sample are you interested in?

Briefly describe your issue

Just a quick confirmation

We want these samples going to people who are serious about trying them.

I confirm I have an ostomy and this request is for my own use. I am currently dealing with leaks, adhesion issues, or poor wear time and want a better solution. I intend to actually try the sample if approved.

Complete your sample application

Fill this out so we can review your request and send the right sample if approved.

Qualified sample applicant

Please complete your information below.

This program is not a fit

At this time, our free sample program is reserved for ostomates who are actively dealing with leaks, adhesion issues, or short wear time.

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Application submitted

Thanks for applying. If your request is approved, we’ll follow up using the contact information you provided.