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Accu-Chek Solo Micropump System - Resupply Sales Order

Healthcare Team details

Please review the terms and conditions of Accu-Chek Solo Micropump System - Resupply with your customer before proceeding.

* Mandatory fields

Please enter the number in the correct format. For example: +61878564567

Please use the fields below to provide full address details for where the insulin pump kit should be delivered. Note: If the delivery address provided is not the address of the clinic/hospital, you are confirming that adequate support is in place for the person with diabetes to be comfortable in the use of the insulin pump.