Order your free Hyalofemme leaflets here

Are you ordering Hyalofemme printed information leaflets for a clinic (eg GP surgery, hospital clinic, physio practice?) *

(We will send you helpful information leaflets to give to patients; letters which they can give to prescribers which detail all the relevant information for prescribing; and leaflets for healthcare professionals which summarise the clinical trial evidence)

We have information leaflets which are specifically about how Hyalofemme helps patients living with a diagnosis of cancer. What proportion of your patients are in this cohort? *

100%
Approx 75%
Approx 50%
Approx 25%
Approx 10%
None

(This will help us to send the right amount of cancer-specific leaflets and more general leaflets, which are relevant to women who are experiencing vaginal dryness due to menopause, those who have recently had babies and those using oral contraceptives)

Are you a patient who would like a printed information leaflet and a letter to give to your GP/nurse/clinic so that they can prescribe Hyalofemme for you? *

(We will send you one of each of our patient-focused leaflets. NOTE: You can download the letter to give to prescribers on this website, on the 'How to Get' page)

Where shall we send your leaflets?

Nearly there! Just fill in the your details below and we will post your free literature directly to you.

Title and First Name *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Last Name *

Clinic and Hospital name *

Department

Hospital/Clinic Email *

Telephone number *

Address *

Address 2

Town/City *

County *

Postcode *

Please note that samples can only be delivered within the United Kingdom.

Agree Terms *

I agree to the terms and conditions https://www.hyalofemme.co.uk/terms-and-conditions

News & Updates *

Yes please, I'd like to receive news and updates relevant to Hyalofemme
No thanks, I'd rather not be kept up to date

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