Dexcom G5 Mobile - Page 67

Complete, sign, and return card to Dexcom via:
• Fax: 1.866.348.6030
• Email: fieldclinicaltraining@dexcom.com
• US mail
I have trained on the following:
Patient Name: __________________________________________
Patient Email: __________________________________________
Trained by:
Self-Training/Tutorial Diabetes Center/Doctor’s Oce
Dexcom Sta ________________________________________
Date: _________________________________________________
Physician Name: ________________________________________
Patient Signature:________________________________________
Dexcom G5 Mobile
Components
Display Device Options
Setting High/Low Alerts
fold here
seal
seal
seal for privacy
Fold over with the Business Reply Mail facing up and back is blank.
For your privacy, seal edges with tape.
Be eligible to participate in a monthly drawing for
a free box of sensors by completing this training
business reply card within 14 days of training.
Inserting Sensor
Starting Sensor Session
Entering BG Meter Value
Ending Sensor Session
Individuals are limited to a one-time prize redemption for a box of sensors. Health care
professionals and Medicare patients who purchase the Dexcom G5 Mobile System are not
eligible to participate. Winners will be notified by email.