Samples & Pricing - MediPurpose
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SurgiLance™ Sample and Pricing Request

Thank You for Your Interest in SurgiLance™ Safety Lancets!

Please be advised that samples are only for medical patients and healthcare providers. MediPurpose verifies all requests before processing due to high volumes of fraudulent requests.


To receive samples and pricing, please complete the form below.


If you prefer to place your order over the phone or have immediate questions, please call +1-404-855-3655.

    Which Type of User are You?

    So that we may provide you with the best possible service, please select the description that best describes your interest in SurgiLance™ safety lancets.

    I am *

    Private/At-Home UserNurse/Clinician/PhysicianHealthcare Facility AdministratorMedical Product DistributorGroup Purchasing Organization (GPO)Other
    If other, please explain:

    Where Should We Send Your Samples?

    MediPurpose™ respects your privacy. We will not sell or share your information.

    Country *

    Which product would you like to receive?

    SurgiLance™ Models *

    SLN100 (Yellow - 1.0 mm Needle)SLN170 (Lime - 1.7 mm Needle)SLN200 (Grey - 1.8 mm Needle)SLN240 (Orange - 2.2 mm Needle)SLN300 (Pink - 2.8 mm Needle)SLB200 (Green - 1.8 mm Blade)SLB250 (Blue - 2.3 mm Blade)None

    Questions or Comments?