Patient Center

New Patients

For Help with Diabetic Supplies:

Complete our Online Application, which includes the Medical Authorization; OR
Print and mail a Patient Application and Medical Authorization; OR
Call us at 800-254-4667 to provide your information over the phone.

Current Patients

To Reorder Diabetic Supplies:

Patient Reorder Form

ATTENTION: Are you
Taking Coumadin?

Now you can finally test your INR levels in your own home! Click Here now or complete the form below.

Benefits of Testing at Home:

Decrease TE (stroke) events by 55%
Decrease Hemorrhagic events by 35%
Decrease "all cause" mortality by 39%

By clicking on the "Submit" button, I agree that the information I've provided will be used only by AmericanDiabetes.com and its contracted third parties to mail, telephone, and email me helpful information on diabetes and related treatments, products and services.

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New Patients

For Help with Diabetic Supplies:

Current Patients

To Reorder Diabetic Supplies: