Please complete the information below and agree to the Privacy Statement to receive an intermittent catheter sample.

Intermittent catheters are prescription devices. If Hollister does not have your prescription on file, a customer service representative will be in touch with you about getting a copy of your prescription.

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Privacy Statement: Your privacy is important to Hollister Incorporated and its affiliates (collectively, “Hollister”).  Hollister will not sell or rent personal information to others.  Your personal information may be used to contact you by telephone, e-mail, or U.S. mail about Hollister products or services (including for marketing purposes) and it may be shared with third parties to provide services to or on behalf of Hollister (e.g., cloud-hosting services or direct marketing services) or to comply with law.  Hollister may also share your personal information and condition with your nurse, doctor, healthcare product supplier, or other healthcare professional to help them address your condition.  If you no longer wish for Hollister to contact you or share your information, you may opt-out at any time by calling 1.800.323.4060, Monday through Friday, 8:00 a.m. to 5:00 p.m. CST or by e-mailing