For a printed copy of the Diabetes Wellness kit, fill in the required fields below and your kit will be mailed to your location.
First Name* Last Name*
Street Address*
City* State*
Zip* Telephone
What type of meter do you have?* Monitor Serial Number (located on back of monitor)
Email Address
Please select one
Send me a wellness kit in English
Send me a wellness kit in Spanish. Envieme el juego de bienestar en espaƱol.