Free Samples for Doctors Question Title * 1. What is the name of your practice? Please provide the business mailing address for the samples. Question Title * 2. What is your email address? Question Title * 3. Please mark which samples you are interested in? (select 3 max) Super Sensitive Shampoo & Bodywash (no fragrance) Eczema Wash + Cream Super Sensitive Diaper Ointment (no fragrance) Calendula Cream (uses: baby acne, cradle cap, radiation dermatitis, general skin soother) Super Sensitive Sunscreen (no fragrance) Question Title * 4. Which other brands send you free samples? Question Title * 5. Ideally, I would prefer free sample shipments: Once Recurring Shipments every 2 months Done