IM HealthScience® Sample Request Form

If you are a physician or other healthcare practitioner and want to obtain complimentary samples of IBgard®, FDgard®, Fiber Choice®, or REMfresh®, please fill out the form below, or download the PDF and return via fax or email. Call 561-955-1908 with any questions.

Fax: 888-314-5029

All fields required. Please verify that all contact information is correct, including state license information and shipping address.

IBgard FDgard Fiber Choice REMfresh