Order your LoFric samples here!

Thank you for your interest in the LoFric catheter. LoFric is a catheter brand that has been on the market for over 25 years and is the most clinically documented hydrophilic catheter proven to reduce the risk of UTIs and long-term complications. Please submit the form below to receive samples of the LoFric catheter. If you have any questions, contact us at 1-877-4-LOFRIC (1-877-456-3742).

Fields marked with are required to complete the order.

Personal information:
First name *
Last name *
Address *
City *
State *
Zip *
Telephone *
E-mail *
I prefer to be contacted via e-mail Yes
 
For healthcare professionals, please fill in these fields below:
Title *
Position
Department *
Hospital / clinic *
 
Please select product and size:
LoFric *   Length (in) *   FR *
 
Additional information:
Total number of Patients on a Self-Catheterization Program 1-5
6-15
16-30
30+
What type of catheter is currently prescribed?
What types of complications do you see in your patients?
Would you like a local LoFric rep to visit you? Yes
Please type additional requests, questions, and comments here