Free Product Sample

Please fill out the form below to request a Free RTD® Wound Dressing Sample Product:

  • Free samples are being sent for professional use only
  • If you are a patient, please ask your doctor to request samples for you
  • Please download and read the “Information for Use” document

Download Instructions for Use

Shipping Terms

  • Due to customs regulations for medical devices, the product samples will be sent only to requestors in the USA.
  • Our standard carrier is FedEx.
  • FedEx does not deliver to PO Boxes! Please provide us with an alternative address if you can.
  • Tracking information will be provided via email.
  • Signature service will be required for delivery of samples to ensure your sample pack reaches you.

RTD® Free Sample Request Form

Reimbursement Codes:
HCPCS A6209 for sizes 2”x2″ and 4”x4″
HCPCS A6210 for size 4”x5″
HCPCS A6211 for size 8”x16”

Keneric Health Care
8925 Sterling Street, Suite 100
Irving, TX 75063
T +1 855-872-2013
F +1 855-763-0271