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Request a Free Sample

If you would like a free sample of IrriSept or IrriSept O.R., complete the form below and submit. You may also email information directly to sample@irrisept.com or call Customer Service at (770) 807-8445.

*Name:

Healthcare Facility Name:

Healthcare Professional Type

Address:

*City:

*State:

*Zip:

*Email:

Phone:

Fax:

Comments:

IrriSept is regulated as a prescription product and can only be sampled by qualified healthcare professionals. Upon receipt of your sample request, a company representative will contact you to validate credentials before the sample is sent. Thank you for your interest in IrriSept.

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Important Notice

We apologize our website has been experiencing technical difficulties with our "Submit a Sample Request" form and emails. If you have submitted a request and have not been contacted by an Irrisept team member, please call us directly at 770-807-8445. The submission form and email have been repaired and are now working properly. Thank you for your understanding and interest in IrriSept.