Request a sample - Flexitol

Sample Requests

If you are a healthcare professional and you would like samples of our range for patient evaluation only, please complete the sample request from below.

Please note, we are temporarily unable to deliver patient evaluation samples to Northern Ireland.

Title*

First name*

Last name*

Speciality*

Other speciality

Professional code (e.g. GMC/NMC/GPHC)

Email*

Department

Hospital/Practice Name

Work Address*

Work Address 2

Town/City*

Postcode*

Country

Phone number

Flexitol 10% Urea Cream

Flexitol 25% Urea Heel Balm

To request more samples please contact us at flexitol@thorntonross.com

What encouraged you to request a Flexitol sample?

Additional comments/information

Please tick to confirm:

I am a healthcare professional These samples are for patient evaluation only

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Adverse incidents should be reported on 01484 848164, at thorntonross@medinformation.co.uk or alternatively at https://yellowcard.mhra.gov.uk/