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 display box

Already have samples but need a refill? Fill out the form below, and we’ll send you another kit.



Healthcare Professionals

Request Patient Samples

Hydralyte Special Offers

Coupons and Promotions

Professional Sports Organizations

Wholesale Opportunities