Please take a moment to complete our sample kit request form. If you have any questions, please contact our customer service team at contact@epiq-ah.com. Thank you!

Recipient's Street Address

Please use the address where you'd like the samples shipped. Please note that we can only ship within the US.

Are you a Veterinary Ophthalmologist?*

EPiQ Animal Health is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and provide the products and services you request from us. From time to time, we would like to contact you about our brands, products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please check the box below to tell us how you would like us to contact you:

For information on our privacy values and commitment to protecting your privacy, please review our Privacy Policy.

By clicking submit below, you consent to allow EPiQ Animal Health to store and process the personal information submitted above to provide the requested content.