Splenda Kit Request | Splenda Healthcare Professionals

Order your Splenda® Kit

If you are a credentialed healthcare professional providing direct patient care, you are eligible for a Splenda kit. Please allow at least 3 weeks for Splenda kit to arrive from the time you submit this request.

Name*

First Last

Email*

Phone*

Enter Your National Provider Identifier (NPI)#

Type of Practice

Profession*

Explain Other*

Facility Name*

While you are required to enter your facility name and address for verification purposes, you may select to have your Splenda® Toolkit shipped to your home address.

Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing Address*

Same as Facility Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address Type*

Business
Residential

Consent*

I verify I am a healthcare professional and will use these samples for clients and patients in my practice.*

Opt In

I would like to receive communications with offers and clinical resources.

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Splenda® Kit Requests for Healthcare Professionals

Order your Splenda® Kit