KOL Sample Requests Welcome, TOTAL TOOTH CARE KOLs! KOL Sample Request Please fill out the form below to start your sample request. Name(Required) First Last Email(Required) Street AddressCityStateZIPPlease list the Vista Apex product(s) you would like to sample:(Required)Please list the Perio Protect product(s) you would like to sample:(Required)Preferred Date (if applicable) to receive products: