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US Diagnostics

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Register your meter

Warranty Registration Form

Thank you for choosing our Blood Glucose Monitoring System!

To register your meter, please complete this form within 30 days from the date of purchase.

Meter:

Date of purchase:

Meter Serial Number:

First name:

Last name:

Address:

Apt # / Unit (optional):

City:

State:

Zip:

E-mail:

Telephone:

Date of Birth (optional):

Which type of diabetes do you have?

Is this your first meter?

How often do you test your blood glucose level?