OmniPod UST200 User Manual page 2

Contacts and Important Information
Use the spaces below to record important health and product information.
Doctor
Name
Address
Telephone and Fax
Email Address
Nurse/Educator
Name
Address
Telephone and Fax
Email Address
Health Insurance
Name
Address
Telephone Number(s)
Policy Number
Pharmacy
Name
Address
Telephone and Fax
Email Address
Prescriptions
Script # Name
OmniPod System Start Date: _
PDM Model: UST200 Serial Number:
Emergency Services
Dial 911 (USA only; not available in all communities)
Insulet Corporation
9 Oak Park Drive Bedford, MA 01730
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Customer Care (24 hours/7days): 800-591-3455
When calling from outside the United States: 781-457-5098
Customer Care Fax: 877-467-8538
Web Site: MyOmniPod.com
Dose Frequency
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