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For Health Care Providers Only

Samples of the HemoBand will only be sent to recognized health care providers.

Please complete and submit the form below to receive a free sample of the HemoBand. Please allow 2-3 weeks for delivery. Only one sample packet per address please.

Request A Sample

Request a Sample

Please select which samples you would like

HemoBand (standard)—Sterile (ref HB-1M)

HemoBand (standard)—Non-Sterile (ref HB-NS)

HemoBandXL (extra long)—Non-Sterile (ref HB-NSXL)

ALL REQUIRED FIELDS MUST BE FILLED IN TO SUBMIT.

Complete any red fields and re-submit.

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