Catheter Users Survey

CATHETERS FOR FREE BC FOUNDATION

Catheters For Free BC Foundation

* Indicates required field

Do You Have Insurance Coverage? *

Yes No

If Yes, What Type Of Insurance Coverage? *

PWD (Persons with Disabilities) BC ICBC Worksafe BC Benefit Insurance Through Employment Private Insurance Self Funded Other

If No, Do You Clean And Reuse Catheters? *

Yes No

Submit

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