Insulet Corporation 019 Manuale Utente

Pagina di 190
Contacts and Important Information
o
Name
Address
Telephone and Fax
Email Address
Name
Address
Telephone and Fax
Email Address
Name
Address
Telephone Number(s)
Policy Number
Name
Address
Telephone and Fax
Email Address
mylife OmniPod System Start Date: _
_____________________
PDM ModelENT500 Serial Number:  
_____________________
Distributor:
Customer Care: 
Doctor
Nurse/Educator
Health Insurance
Pharmacy
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Use the spaces below to record important health and product information.