Sample Request Form

Dear Provider,

We will miss you at our visits to the AONN and ASTRO shows in the coming weeks. We would like to provide you with a sample starter kit of DIFINSA53™, free of charge, to evaluate for yourself as long as supplies are available.

DIFINSA53™ lotion is a product of research and development by scientists, radiation oncologists and dermatologists at the University of Colorado Anschutz Medical Campus. They and the rest of us at ProTechSure Scientific, Inc. care deeply about improving the quality of life for radiation therapy patients through continuing discovery of new skin care medications.

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