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

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