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Physician Practice Form Submittal

Thank you for submitting your patient’s information over our secure network. We value the opportunity to service your patients for all their diabetes testing supplies! 

As a next step, we will: 

  • Reach out to your patient or caregiver to set up an order
  • Verify all insurance coverage and benefits (Medicare Plans, Private Insurance and Pharmacy benefit)
  • Fax a Physician Order Request Form to your office on your client’s behalf

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