Download 7 - OmniPod

FrontMatter.fm Page 0 Saturday, September 10, 2011 7:06 PM
Contacts and Important Information
Use the spaces below to record important health and product information.
o
Doctor
Pharmacy
Name
Name
Address
Address
Telephone and Fax
Telephone and Fax
Email Address
Email Address
Nurse/Educator
Name
Address
Telephone and Fax
Email Address
Health Insurance
Name
Address
Telephone Number(s)
Policy Number
OmniPod System Start Date: ______________________
PDM Model: CAT35E Serial Number: ____________________
Distributor:
GlaxoSmithKline Inc.
7333 Mississauga Road, Mississauga, Ontario, Canada
L5N 6L4
Customer Care:
Please call 1 855 POD INFO (1 855 763 4636).
When outside of Canada, please call 647-788-3132.
Visit www.myOmniPod.ca for additional information and
resources.