Samples of Dicon for Medical Professionals

We provide free samples to health professionals only. To order, please fill out the form below and click “Submit.”

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Speciality

Gastroenterology
General Surgery
General Practice
Internal Medicine
Pediatrics
Colon and Rectal Surgery
Obstetrics/Gynecology
Geriatrics
Other

(What is my ME number) Pop-up: It stands for "Medical Education number." It is not a State License number. It's an 11-digit number assigned to every physician in the United States by the American Medical Association (AMA) for identification and recording of basic physician information and CME credits. You can find your ME number on your AMA membership card, or you can ask a pharmaceutical rep. They have your ME number on their computer as part of your profile when they pull up your information to request sample signatures from you.


How did you first hear about dicon?

Sales Representative
Colleague
Medical Convention
Internet
Pharmacist
Television
Print
Radio
Billboard
Other - Specify

Have you been approached by a dicon sales representative?

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I would like to receive (check all that apply):

A sample of dicon
Materials that will help me recommend dicon to my patients