Hollister Sample Request

Try the ostomy skin barrier that's designed to keep healthy skin healthy

The innovative CeraPlus skin barrier with Remois Technology* is designed to maintain adhesive properties, and features a formulation infused with ceramide to help protect the skin's natural moisture barrier. The CeraPlus skin barrier is available on one- and two-piece pouching systems. Browse through the product options.

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Order your sample today

Based on the information and preferences provided, we will send you a product option that best fits your needs. If you have any questions or would like to try something different, feel free to call us at 0800 521377.

Fields marked with an asterisk(*) are required.

First Name: *

Last Name: *

Address *

Phone Number: *

City: *

Postal Code *

Email: *

Gender:

Surgery Date: *

Stoma Type: *

Stoma Size: *

Where is your stoma located?

Is your stoma located in a dip, crease or fold?

Pouching System Type: *

Manufacturer of Current Pouching System:

Barrier Type:

Which company currently sends or delivers your supplies?

Current Product Number(s):

I want to receive samples and related product guide; I consent to the processing of my name, address, contact information (such as: telephone number and e-mail address) and medical information, which consists of data related to my health and is necessary to identify the correct product (such as: mobility, type of surgery, length of product usage, skin conditions) for this purpose.

I want to stay informed about Hollister’s products and services which may be of interest to me via email, postal mail, telephone, SMS, etc.; I consent to the processing of my name, address, contact information (such as telephone number and e-mail address), gender, and medical information, which consists of data related to my health and useful to identify my direct marketing needs (such as: mobility, type of surgery, length of product usage, skin conditions) for this purpose.

Address 2

Salutation *

Comments

Step 1: Contact Information

Step 2: Stoma Information

Step 3: Current Product Information

By submitting this request, you consent to receiving emails confirming this order, its shipping information, and a short survey regarding your experience with the product.

You have the right to withdraw your consent at any time by contacting Data.Officer@Hollister.com. Such withdrawal only has future effect (i.e. the withdrawal of your consent has no effect on the lawfulness of the data processing and disclosures before the withdrawal was made).

For more information, please see our Privacy Notice.

Prior to use, be sure to read the Instructions For Use for information regarding intended use, Contraindications, Warnings, Precautions, and instructions.

*Remois is a technology of Alcare Co., Ltd.