Users Samples | MTG Catheters

If you are a clinician, please request samples here.

Do you have a current prescription for urinary catheters from your doctor?(Required)

Yes

No

A doctor's prescription is required by federal (USA) law in order for MTG to ship sample catheters to you. After you obtain a prescription, please return to this page.

Are these catheters for you?(Required)

Yes

No

Gender(Required)

Male

Female

Catheters currently using (check all that apply)(Required)

Coude Curved Tip

Straight Tip

Closed System (Bag Catheter)

Foley Catheter

Gel Coated

Hydrophilic Coated

Not Using Catheters

Not Sure

French size(Required)

8 Fr

10 Fr

12 Fr

14 Fr

16 Fr

Not sure

Sensation?(Required)

Yes

No

Urinary tract infections in past year?(Required)

None

1

2

More than 2

Are you currently taking antibiotics to prevent urinary tract infections?(Required)

No

Yes

Other

Who is your current medical supply company?(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

We must call to confirm the shipment of your samples. A HR HealthCare representative will either call or email you in the near future. We are unable to send samples unless we can verify information and determine which of our products best fits your needs

Terms & Conditions(Required)

I agree to let HR HealthCare record my info in order to fulfill my request, in accordance with this site's privacy policy.

Catheter Samples For Users

MTG Catheters