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

 



Thank you for your interest in DM Systems' products. To request a free sample, please use the form below.

 

After we receive the form, a representative will follow up with you to confirm your information and discuss our products with you. Every sample will include an evaluation form. We value your feedback and ask that after trialing the sample you return the evaluation form to DM Systems.

 

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 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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*Address 1:
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*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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*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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