New Customers

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Register a new account

This form is for receiving regular ongoing supplies through the SecuriCare Home Delivery Service. If you only want one-off samples and are not interested in joining our home delivery service, please visit our sister company, CliniMed.

Account registration is only open to UK residents.
Please begin your registration by searching for your address:

Start with postcode or street *

Address 1

Address 2

City

County

Postcode

Also sign up for an online account?

First name *

Surname *

Telephone *

Email * You'll use this to log in

Password * (minimum 6 characters) Remember to make a note of this!

Please select relevant area(s) of care: ^*

Stoma type

Ileostomy
Colostomy
Urostomy
Fistula
Unknown

Continence type

Urinary Incontinence
Faecal Incontinence
Indwelling Catheter User
Intermittent Catheter User
Pad User
Sheath User
Unknown

Other type

We and our sister company, CliniMed Ltd, would like to update you occasionally about our relevant products and services. Please confirm whether you agree to us holding your details and to being contacted in the ways listed below.You can unsubscribe from our mailing lists at any time by clicking the link in any of our emails, calling Freephone 0800 585 125 or emailing info@securicaremedical.co.uk, and you can view our full privacy policy here. Please tick each relevant box: Yes! Please keep me up to date via...

Email
Phone
Post

Enter your email address to join our email list

Enter email to subscribe to our newsletter *

Message Sent

Thank you for submitting your enquiry. We will be in contact with you shortly

By submitting, you agree to receiving product and service emails from SecuriCare. You can unsubscribe at any time by clicking the link in any of our emails, calling Freephone 0800 585 125 or emailing orders@securicaremedical.co.uk, and you can view our full privacy policy here.