Birchwood Laboratories, Inc.

Wound Care
AER^® Witch Hazel
- AER^® Witch Hazel Pads
- AER^® Traveler Witch Hazel Towelette
B-Sure^® Incontinence Care
LiquiCell^®
- LiquiCell^® Shear Points
- LiquiCell^® Shear Reducing Interface
Large-Tip Applicators
- Scopettes
- Scopettes Jr.
Colorectal Care
Trade Show Appearances

Professional Sample Request

Please select product you wish to sample:

Would you like a sample of B-Sure Absorbent Pads? No Yes

How did you hear about B-Sure Absorbent Pads?

In your office, how many patients would you estimate could benefit from this product?

What are the primary reasons for fecal incontinence seen in your office?

Is this product available at retail outlets in your area?

If not, where would you like it stocked for your patients?

Would you like a sample of ARD Perineal Dressings? No Yes

How did you hear about ARD Perineal Dressings?

Does your facility currently use ARD Perineal Dressings?

In your office, how many patients would you estimate could benefit from this product?

Would you like a sample of AER Traveler Witch Hazel Towelettes? No Yes

Would you like a sample of LiquiCell Shear Points? No Yes

How did you hear about LiquiCell Shear Points?

For what use are you interested in LiquiCell Shear Points?

What hospital unit or type of clinic will be receiving the samples?

Please check which, if any, of the Scopettes you would like a sample of.

Scopettes Jr. 8-inch (5 swabs)

Scopettes Jr. 8-inch Non-Sized (5 swabs)

Scopettes Jr. 8-inch Sterile (6 swabs)

Scopettes 16-inch Sterile (2 swabs) - Please Contact Customer Service Representative