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Wound type and location (one wound per form) :
Main reason for using Triad on this wound : Wound on irregular surfaceBroken skin in the presence of incontinenceMaceration of the peri-wound skinNecrotic tissue or escharOther
If 'Other', please specify :
How did the wound or peri-wound progress with Triad? :
How did Triad compare to other treatment options? :
How satisfied are you with Triad? (1 being "very dissatisfied" and 10 being "very satisfied") : 12345678910
First Name :
Last Name :
Email address :
I acknowledge that I have read and accepted the Coloplast declaration of consent. Please click here to read the Coloplast declaration of consent.
I acknowledge that I have read and accepted the Coloplast declaration of consent Please click here to read the Coloplast declaration of consent.