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Accu-Chek Guide Starter Kit

As a Healthcare provider, you have RECOMMENDED SIMPLE to your patients 

This webform is strictly for use by diabetes healthcare providers and patients who have received a referral from them. 

After submitting the form, patients will receive a Starter Kit1 including an Accu-Chek Guide system and a silicone case.

Patients will also obtain more information from us on diabetes, our promotions and our products.

If you have any problems ordering, please contact us for assistance 1-800-363-7949.

*Denotes required field.

Healthcare provider information:
Patient information:
We will do our best to send you your preferred colour depending on inventory.