Abbott Diabetes Care

Medical Information Request

Submit a Medical Inquiry

  • Please do NOT share any patient identifiable information on this form.

  • Contact Abbott’s Diabetes Care Customer Care for suspected adverse events or device malfunctions.

 

Patients

  • Patients/caregivers are NOT permitted to use this form. Please consult with your healthcare provider or contact Customer Care.

Health Care Providers

  • Please provide your business contact information below and clearly state your medical information question.
By providing your business contact details, you understand that your information will be used only for the purpose of responding to your medical and technical inquiry. All personal information collected for this purpose will be processed in line with Abbott's Privacy Policy. You can reference the policy here.

Medical Information Request

Fields marked with asterisk (*) are required.

Please provide your first name. Please provide your first name.
Please provide your last name. Please provide your last name.
Please provide a valid email address. Please provide a valid email address. Please provide a valid email address.
Please provide your degree. Please provide a valid degree.
Please provide your workplace title. Please provide your workplace title.
Please provide your workplace name. Please provide your workplace name.
Please enter a valid address. Please enter a valid address.
Please enter a valid work Postal Code. Please enter a valid work Postal Code.
Please enter a valid city. Please enter a valid city.
Please provide a valid question.
 
You must select consent above.