Trial Programs

Thank you for your interest in our evaluation programs for Vashe Wound Therapy.

Please submit the information below, and we will contact you directly or call us at 866-918-2743 to discuss evaluation options and to see if you qualify.

*First Name

*Last Name

*Title

*Facility

Number of Wound Procedures/Week

*Phone

*Email Address

*Address

*City

*State/Province

*Zip

How did you hear about Vashe Wound Therapy?

When are you prepared to start the trial?

Do you have any questions about Vashe Wound Therapy or the free trial program?

Yes, I would like to receive future news and announcements from PuriCore when they are available.

Please fill in required fields.

Free Trial

Questions or comments? Contact the Vashe team.