It’s so easy. You fill out the forms. We’ll take care of the rest.
Once you and your healthcare provider have determined that pump therapy is right for you, complete and submit the Patient Information Form below or download the form and fax it to OmniPod® Customer Care Program.
Complete and submit the required information below. Once we have received your information, our Customer Care Program will contact you to get you started on the OmniPod® System.
If you prefer to fax your information, please download and complete the Patient Information Form and fax it to OmniPod® Customer Care Program at 1.855.FAX.4POD (1.855.329.4763).
The OmniPod® Insulin Management System is covered under various plans across Canada. Once you have completed and sent back the above form, our OmniPod® Customer Care Program will be best equipped to answer your coverage questions. They can be reached at 1.855.POD.INFO (1.855.763.4636).
Interested in hearing more? Talk to your doctor