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Just some of the reasons why our customers love us...

99%

said they found it easy to contact us

99%

felt they received excellent or very good service

99%

said they were satisfied with time it took from order to delivery

99%

said they were satisfied with our pouch customisation service

98%

said we were excellent or very good at keeping stock levels of the appliances they need

98%

rated our quality of packaging as excellent or very good

96%

of customers would recommend us

94%

rate the quality of delivery service from our delivery partners, DPD, as excellent or very good

Referring your stoma or continence patient to Respond

Section 1: Referring Nurse or Healthcare Professional Details

Name

Section 2: Patient Details

Name(Required)
Address(Required)
DD slash MM slash YYYY

Section 3: The Patient's Stoma

DD slash MM slash YYYY
DD slash MM slash YYYY

Section 4: GP Details

Section 5: Products required

Please detail the products your patient has been discharged with or are now required. We will add complimenting items such as dry wipes and disposal bags with each order.

If you have any further comments please add them here. This can include specific details for delivery, pouch customisation needs or anything you else you feel is relevant to tell us:

Section 6: Language Line

We offer a translation service for customers who wish to converse in another language. Let us know here if they require the translation service for any calls or other communications.
Translation required
This field is for validation purposes and should be left unchanged.

Need some advice?

Call us on 0800 220 300, 0800 028 6848 (NI) or email [email protected]