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Hi there I'm Natalie!
I'll walk you through the steps of our free sample request process!
Who should we send the samples to?*
First Last
Email*
Enter Email Confirm Email
Phone*
Phone Type*
Terms & Conditions*
I agree to the Terms & Conditions.
By agreeing to the terms & conditions, I give my express consent authorizing to CompactCath and/or Golden Gate Health Supplies to contact me with marketing messages and/or to verify my information via automated means, including email, artificial voice or pre-recorded calls and/or text messages to the telephone number(s) provided. I understand that my consent to receive calls is not required in order to purchase property, goods or services.
Where should we send the samples to?
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Tell me about the samples you need!
If you don’t know the answer, it’s ok, our team can help you later.
Preferred catheter size:*
Preferred tip:*
Insurance Name*
Enter your insurance name provider. If unsure, type "Unsure"
Doctor/Physician Name
Enter your Doctor or Physician name. If unsure, type "Unsure"
Clinic Name
Enter your Clinic Name. If unsure, type "Unsure"
- I have a valid prescription

Things couldn’t be better with CompactCath. They make life so easy and allow me to do things like travel, camp and go places that would be difficult without it.
- Gerald, Modesto CA

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