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First Name

Last Name

Email Address

Phone Number

Street Address

Zip Code

Medicare Disclaimer

I give permission to be contacted at the phone number provided by US MED and United States Medical Supply and their affiliates about diabetic, sleep, urology, respiratory, orthotic, medications and other healthcare products/services by auto-dialed calls and/or pre-recorded messages, and by email, regardless of my status on any state or federal do not call list. Consent is not a condition of purchase. Insurance reimbursed items must qualify and deductibles and coinsurance apply. Privacy Policy

What Insurance do you have?

Insurance Disclaimer

I certify that I entered my own information, and give permission to be contacted at the email address and/or phone number provided by autodialed calls/text messages and/or pre-recorded messages, by Diabetic Connect and/or UpWell Health about healthcare and consumer products/services†, regardless of my status on any State or Federal Do Not Call list. I understand consent is not a condition of purchase. Messaging and data rates may apply from your mobile carrier. Privacy Policy
† For insurance reimbursed offers; must qualify, deductibles and coinsurance may apply

Please provide me with information about Bayer diabetic testing supplies.

Free Diabetes Testing

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