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Thank you for your interest in DM Systems' Wound Care Products!

 


Heelift Glide photo

Learn more about Heelift Glide
Click here to learn more
about Heelift Glide.

 


To request a free sample, please use the form below.

Your feedback is important to us so we have created a few guidelines prior to shipping out a sample to you:

 

• An evaluation form will always be included with your sample. We ask that you evaluate the
product for 2-4 weeks, complete the questionnaire and return the form to DM Systems.
• If we do not receive an evaluation, we will call your office with a reminder.

 

Please choose which DM wound care product sample you would like to receive.

Heelift® Glide Standard - Convoluted Foam (#6453)
Heelift® Glide Standard - Smooth Foam (#6279)
Heelift® Glide Petite - Convoluted Foam (#6484)
Heelift® Glide Petite - Smooth Foam (#6477)
Heelift® Glide Bariatric - Smooth Foam (#6460)

Heelift® Standard - Convoluted Foam (#9348)
Heelift® Standard - Smooth Foam (#9164)
Heelift® Petite - Convoluted Foam (#7603)
Heelift® Petite - Smooth Foam (#9041)
Heelift® Bariatric - Smooth Foam (#7702)

Heelift® AFO - Convoluted Foam (#8204)
Heelift® AFO - Smooth Foam (#8105)

Heelift® Traction Boot - Smooth Foam (#9321)

Elbowlift® Suspension Pad (#9000)

HeelSafe™ DVT Hose - Knee (Medium size hose will be sent as a sample unless specified below.)
HeelSafe™ DVT Hose - Thigh (Medium size hose will be sent as a sample unless specified below.)

        Please specify which HeelSafe™ DVT Hose size you prefer:


Please choose if you would like to receive a demo DVD or CD.

Wound Care DVD
Wound Care CD

Please answer the following questions so we can better serve you:

What type of facility(s) do you work for?
Who is your preferred GPO?
What pressure redistribution product(s) do you currently use?


Contact Information:         * required fields to be completed in order to receive your sample

*First Name/Given name:
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*Last/Family/Surname:
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*Title:
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*Business Name:
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Business Type:
*Address 1:
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Address 2:
*City:
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*State/Province:
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*Zip Code/Postal Code:
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*Work Phone:
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Fax:
*Email:
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*Confirm Email:
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Check here if you would like to have a rep call you to schedule an inservice.
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