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BIONIME GM300 - Emergency Card

BIONIME GM300
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Emergency Card
Please fill this card and carry with you at anytime.
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Thank you for answering these questions and for your purchase of the Blood
Glucose Monitoring System.
Do you have Type I Type II Gestational Diabetes?
Have you owned a blood glucose monitor before? Yes No
Which brand/s were you most recently using?
Will the meter be your primary monitor? Yes No
How often do you test your blood glucose? Times per day per week
Do you use insulin? Yes No Oral medication? Yes No
How did you hear about the Blood Glucose meter?
Thank you for purchasing our product. Please complete and mail this warranty card within 30 days of purchase of your
Blood Glucose Monitoring System.
Name Male/Female Date of Birth
Address
City Country Postal Code
Phone Number
Healthcare Professional Who Recommended City Country
Store/Pharmacy Name Where Purchased City Country
Date of Purchase Model No: Serial/Lot No.
Warranty Card

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