Customer opening Free Experience Kit

Want to experience life without all the needles, pens, and tubes that make living with diabetes more complex? Then you’re ready to try the Omnipod^®System!

Wear a non-functioning Pod for 3 days to see how it feels
Try an area that works best for you
Feel the freedom you could have with the Omnipod^® System

There’s no obligation to continue!

1 Pod

replaces up to 14 injections.¹

97%

of users would recommend the Pod to a friend.²

REQUEST YOUR FREE DEMO KIT

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My First Name

My Last Name

Patient Information

First Name

Last Name

Patient Date of Birth

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Type of Diabetes

Current Diabetes Treatment

Contact Information

Patient Email Address

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Phone

Street Address

Suite / Apt

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Selection 1 I certify I am 18 years of age or older.

Selection 1 I acknowledge I have been provided access to the Insulet Corporation Privacy Policy and the HIPAA Privacy Notice concerning the use and disclosure of my medical information.

Selection 1 I authorize Insulet Corporation, its distributors, affiliates and wholly owned subsidiaries to contact me by telephone or e-mail regarding the Omnipod® System and other diabetes-related supplies and services.

¹ Insulet data on file.

² Nov 2019 satisfaction survey data.

Try the Pod, for free!

Want to experience life without all the needles, pens, and tubes that make living with diabetes more complex? Then you’re ready to try the Omnipod® System!

1 Pod

97%

REQUEST YOUR FREE DEMO KIT

Want to experience life without all the needles, pens, and tubes that make living with diabetes more complex? Then you’re ready to try the Omnipod^®System!