State:
AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
* Stoma Type:
Colostomy Ileostomy Urostomy
* Stoma Size:
1.25 inches or less 1.25 to 1.75 inches 1.75 to 2.25 inches
* Where is your stoma located?
Above skin level Level with the skin Below skin level
Is your stoma located in a dip, crease, or fold?
Yes No
Current Product Information:
Pouching System Type:
1-piece pouching system closed 1-piece pouching system drainable 1-piece pouching system urostomy 2-piece pouching system closed 2-piece pouching system drainable 2-piece pouching system urostomy I am not sure which system is best for me
* Manufacturer of Current Pouching System
Hollister Coloplast ConvaTec Other
* Barrier Type:
Flat Convex (Soft) Convex (Hard) Not sure
* Which company currently sends or delivers your supplies?
Edgepark Medical Byram Healthcare McKesson Medline Shield Healthcare Comfort Medical Liberator CSS Medical Mercy Surgical 180 Medical ABC Medical Other
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