Please fill out the form below to request RTD™ Wound Dressing Samples:
- 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 “Instructions for Use” document
Download Instructions for Use
- Due to customs regulations for medical devices, the product samples will be sent only to requestors in the USA.
- Our standard carriers are UPS Ground and USPS.
- UPS 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
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