• Free Shipping
• Trained Consultants
• Insurance Verification
• Medicare Billing
• Lowest Co-Pay ²³

The OneTouch® UltraMini™ Blood Glucose Meter! Now available in Silver Moon, Limelight, Pink Glow and Black!

Looking for a new Glucometer? Its your free when you purchase lancets and test strips. Click here for more information on this special offer! For a limited time only!

Refer a Patient

To The Diabetes Outlet Services

Required Information is marked with an asterisk (*)

 

Patient's First Name:*

Patient's Last Name:*

Patient's Address:*

Patient's Phone:*

- -

 

Doctor's First Name:

Doctor's Last Name:

Doctor's Office Address:

Doctor's Office Phone:

- -

Doctor's Office Contact Person:

Comments:

Yes, I would like to recieve special offers and coupons via email.*

 

¹ Diabetes Outlet will not release your name, information or email in any form to any other company.

² Co-Pay varies depending on insurance and amount of supplies requested

³ Some insurances vary with respect to mail order clauses in which case The Diabetes Outlet will refer the patient to the institution offering the lowest co-pay.