For FREE CYMED

pouching system samples

Call us: (800) 582-0707 - Option #2

(CYMED Samples Dept hours are M-F 7AM-2PM Pacific Std Time)

 or just copy/paste and complete the fields below & Email to: samples@cymedostomy.com

all information will help us offer you the best product match possible and will remain strictly confidential*

Also check our CYMED 2013-2014 Product Catalog

Name:

 

Ostomy Type: 

 

Stoma Size:

 

Stoma Shape:

 

Stoma Type:

(recessed, flush, protruding, etc.)

 

Mo/Yr of surgery: 

 

Problem(s): 

 

Product Preferences:

1-pc /2-pc, Velcro/clip, drainable/closed, filter, etc:

 

Address 1:

 

Address 2:

 

City:

 

State or Prov: 

 

Country: 

 

Zip/Postal Code:

 

Phone number(s): 

 

Best time to call:

(if needed)

 

Email:

 

Additional Comments:

 

 

 

*CYMED Privacy Policy: All your information is strictly confidential and will not result in your receiving any junk mail or unnecessary calls.