Product Sample Request Form

Please complete the form below specifying your contact information and indicating which of our products you would like to review for possible bulk purchase. Our representatives will process your request and contact you as soon as possible.

Thank you for your interest in Börm Bruckmeier products.


Product Choice:
I am interested in the products indicated below:


Anatomy
Anatomy pocket 

Anesthesiology
Anesthesiology pocketcard Set 
Anesthesiology XXS pocket 

Cardiology
Cardiology XXS pocket 
ECG Cases pocket 
ECG pocket 
ECG pocket for PDA 
ECG pocketcard 
ECG pocketcard Set  
ECG pockettool 
ECG Ruler pocketcard 
ECG Ruler pockettool 
Echocardiography pocketcard Set 
Hypertension pocketcard Set  

Diagnosis & Treatment
Alcohol Withdrawal pocketcard 
Differential Diagnosis pocket 
Differential Diagnosis pocket for PDA 
Drug Therapy pocket for PDA 
History & Physical Examination pocketcard 
Medical Classifications pocket 
Normal Values pocket 
Normal Values pocketcard 
Normal Values pockettool 
Vision pocketcard 
Wards 101 pocket 
Wards 101 pocketcard Set 
Wards 101 XXS pocket 
Wound Management Ruler pocketcard 

Endocrinology
Diabetes pocketcard Set 
Dyslipidemia pocketcard Set 

Infectious Diseases
Antibiotics pocketcard 
Antibiotics pocketcard Set (2) 
Antifungals pocketcard 

Nephrology
Acid-base-electrolytes pocketcard Set 
Nephrology pocketcard Set 
Neurology
Dementia pocketcard Set 
Epilepsy pocketcard Set (2) 
Neurology pocketcard Set (2) 
Neurology XXS pocket 
Parkinson pocketcard Set (2) 

Oncology
Oncology pocketcard Set 

Pediatrics
Pediatrics pocketcard Set (3) 

Pharmacology
Canadian Drug pocket 
DARF pockettool 
Drug pocket 
Drug pocket plus 
Periodic Table pocketcard 

Psychiatry
Psychiatry pocketcard Set (2) 

Pulmonology
Asthma pocketcard Set (2) 
Asthma pockettool 
COPD pocketcard Set (2) 
COPD / TFT pockettool 
Respiratory pocket 

Urology
Geriatrics pocketcard Set (3) 

Dictionaries
ICD-9-CM 2004 pocket for PDA 
Medical Abbreviations pocket 
Medical Abbreviations pocket for PDA 
Medical Abbreviations pocketcard Set (2) 
Medical Spanish Dictionary pocket 
Medical Spanish Dictionary pocket for PDA 
Medical Spanish pocket 
Medical Spanish pocket for PDA 
Medical Spanish pocket plus 
Medical Spanish pocket plus for PDA 
Medical Spanish pocketcard 
Medical Spanish pocketcard Set (2) 
Medical Spanish pockettool 
Medical Translator pocket 
Nursing Dictionary pocket 

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