Request Samples

To request samples for your office, please complete the form below.

For Medical Professionals Only

    Ordering Information

    For Healthcare Professionals Only: RectiCare can be ordered by calling 877-352-6295 Or by visiting our Physician’s Portal:
    Please have the following information ready to provide:

    • Name
    • Practice Name
    • Address
    • NPI Number
    • TAX ID Number

    Please allow approximately 2 days for registration to be processed. Once you are a registered member you will have access to the Physician Business Center, which includes:

    • Samples
    • Coupons

    Contact Us

    We welcome any questions, concerns or success stories you may have about RectiCare®. To contact us via email, please use our contact form below. You can also call or write to us at the following address:

    Ferndale Healthcare® Inc.
    780 W. Eight Mile Rd.
    Ferndale, MI 48220