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Securi-T USA Assisted Sample Request

Patients may have questions about their ostomy, how to care for their stoma, and how to keep living the life they want to live — but they don't have to figure it out on their own. Securi-T USA offers FREE dedicated support for as long as needed.

Please complete the form below. If you have questions, call us at 1.800.323.4060 option 5.

(or best estimated date)

Privacy Statement:

Your privacy is important to Hollister Incorporated and its affiliates (collectively, “Hollister”). Hollister will not sell or rent personal information to others. Your personal information may be used to contact you by telephone, e-mail, or U.S. mail about Hollister products or services (including for marketing purposes) and it may be shared with third parties to provide services to or on behalf of Hollister (e.g., cloud-hosting services or direct marketing services) or to comply with law. Hollister may also share your personal information and condition with your nurse, doctor, healthcare product supplier, or other healthcare professional to help them address your condition. If you no longer wish for Hollister to contact you or share your information, you may opt-out at any time by calling 1.800.323.4060, option 5, Monday through Friday, 8:00 a.m. to 5:00 p.m. CST or by e-mailing unsubscribe@Hollister.com.

Further information on Securi-T USA’s privacy practices can be found here.