Surgical Gloves Sample Request Form

Protexis™ Surgical Glove Selection(s)

Glove Type

Please select... Multi-Purpose Thin Moisturizing Coating Under-Glove Orthopedic Dermal Sensitivities

PI/Neoprene/Latex

Please select... Neoprene PI Latex

Size

Please select... 5.5 (11.3" length) 6 (11.3" length) 6.5 (11.3" length) 7 (11.8" length) 7.5 (11.8" length) 8 (11.8" length) 8.5 (11.8" length) 9 (11.8" length)

Contact Details

Are you an existing Cardinal Health™ customer?

YesNo

First Name 

Last Name

Email

Company Name

Job Title

Phone (optional)

Delivery Details

Address

City

Province

Please select... AB BC MB NB NL NT NS NU ON PE QC SK YT

Postal Code