REORDER SUPPLIES | Direct Diabetes Supply

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PHONE: 480-998-5551 / FAX: 480-998-5247

Reorder Your Current Supplies

Reorder Form

If you have already placed this order, please do not submit a redundant order. Thank you.

Name

Date of Birth

Address

Email

Please list each supply you need and the quantity you currently have on hand.

Has your insurance changed since last month?

Doctor's Name & Phone Number

Please provide any additional information, products or questions for the Direct Diabetes team.

Please check here if it is okay that we charge your credit card on file, if applicable.

Thanks for your order!

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Check out our social media channels for helpful diabetic news and recipes.

10643 N. Frank Lloyd Wright Blvd, Suite 102

Scottsdale, Arizona, 85259

480-998-5551

1-888-880-8378

Business Hours:
Monday-Friday
8am-4pm

© Direct Diabetes

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