Patient Sample Kit Request Form
Interested in free samples for your patients? Each kit contains:
- 30 samples of oral electrolyte powder + a $2 coupon off any Hydralyte product
- A small, desk-top easel stand with coupon pad
- A usage directions tear pad with coupons
More than $160 of value for your patients!
Already have samples but need a refill? No problem! Fill out the form below and we’ll send you another kit.