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PRESCRIPTION UPDATE REQUEST
Dear Doctor
I have upgraded my blood glucose meter to the GlucoMen
require the following ticked items as part of my repeat prescription:
GlucoMen LX Glucose Sensors (50)
GlucoMen LX Ketone Sensors (10)
(Only tick if you have been told to test for blood ketones)
Glucoject Lancets PLUS 33G (100)
Glucoject Lancets PLUS 33G (200)
Name ____________________________
If you have any queries please contact GlucoMen on:
GB: 0800 243667
N. Ireland: 0800 7837286
Email: glucomen@menarinidiag.co.uk
405 Wharfedale Road, Winnersh, Wokingham, Berkshire, RG41 5RA
LX 2 and will
®
PIP Code 332-8226
PIP Code 358-2566
PIP Code 385-1748
PIP Code 385-1755
Signature _______________________________
ROI: 1800 709903
Register your GlucoMen
®
LX 2 meter to activate your lifetime product
warranty. You can order free replacement batteries and logbooks either
online or by calling our Customer Support Team, Mon-Fri 8:30am-5:30pm.
GB Residents
FREEPHONE: 0800 243667 or 0118 9444128
ONLINE:
www.glucomen.co.uk/register
Republic of Ireland & Northern Ireland Residents
TELEPHONE: Republic of Ireland
Northern Ireland
ONLINE:
www.mediconire.com
1800 709903
0800 7837286
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