Fill the form to order your free LED leg mirror.

Please only fill this form if you use catheters. For questions about Coloplast products and services please contact us at casupport@coloplast.com. This offer is only for new Coloplast users. Limited supply is available.

First Name: (*)

Last Name: (*)

Email: (*)

Address: (*)

City: (*)

Postal Code: (*)

Province: (*)

Phone Number: (*)

Are you a catheter user? (*)Yes
No

Biological Sex: (*)Female
Male

Support Services declaration of consentBy providing your personal and sensitive data, you are consenting to Coloplast Canada that we may process and store your data for the purposes to provide tailored services and healthcare professional reviewed guidance on a regular basis; to fulfill and inform you of your request by phone, text, email, or mail. We will also process your data to improve our products and services and may refer you to healthcare professionals if needed. Information provided to us by you or a third party will be used to process orders and for general administrative record-keeping purposes. The information may also be used or shared with a third party if required by law to provide you with information related to Coloplast’s products, services and wellness education. We will also let you know about relevant Coloplast products and services via phone, text, email, or mail (marketing). We may share your data with our sub-vendors when necessary to fulfill the request and transfer data securely outside of Canada to support our business operations. You may withdraw consent at any time without ramifications by writing to privacyrequests@coloplast.com or calling us at 1(866)293-6349. For more information, please visit our privacy policy for consent.

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More resources for catheter users

Exercise Guide for Catheter Users

Using a catheter does not mean that you can’t lead an active lifestyle. In this guide, you will learn tips and tricks that may help make exercising a success. Read more

What are hydrophilic catheters?

Not all catheters are the same! Learn the benefits of using hydrophilic catheters and the differences compared to uncoated catheters. Read more

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Fill the form to order your free LED leg mirror.

More resources for catheter users

Exercise Guide for Catheter Users

What are hydrophilic catheters?

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