Serving All of Washington State

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TMS Global

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Fill out this short form and a TMS Global representative will contact you by the next business day to provide a quote.

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Tests (Please check all that apply)

Accu-Chek Aviva Plus 100ct (AVP1)

Accu-Chek Aviva Plus 50ct(AVP5)

Accu-Chek Aviva Plus 50ct NFR (AVPN)

Accu-Chek Compact 102ct (AC1)

Accu-Chek Compact 51ct (AC5)

Accu-Chek Guide 100ct (AG1)

Accu-Chek Guide 50ct (AG5)

Accu-Chek Smartview 100ct (AS1)

Accu-Chek Smartview 50ct (AS5)

Bayer Contour Next 100ct (BCN1)

Bayer Contour Next 50ct (7311) (BCN5)

Bayer Contour Next 50ct DME (7308/9) (BCND)

Bayer Contour 100ct (BC1)

Bayer Contour 50ct (7080G) (BC5)

Bayer Contour 50ct DME (7098C) (BCD)

FreeStyle 100ct (FS1)

FreeStyle 50ct (FS5)

FreeStyle Insulinx 100ct (FI1)

FreeStyle Insulinx 50ct (FI5)

FreeStyle Lite 100ct (FSL1)

FreeStyle Lite 50ct (FSL5)

FreeStyle Lite 50ct Inst. (FSLI)

FreeStyle Precision Neo 50ct (FPN)

OneTouch Ultra 100ct (OTU1)

OneTouch Ultra 50ct (OTU5)

OneTouch Ultra 50ct DME (OTUD)

OneTouch Ultra 25ct (OTUB2)

OneTouch Verio 100ct (OTV1)

OneTouch Verio 50ct (OTV5)

OneTouch Verio 50ct DME (OTVD)

OneTouch Verio 25ct (OTV2)

True Metrix 100ct (TM1)

True Metrix 50ct (TM5)

Other Supplies (Please check all that apply)

FreeStyle Reader/Scanner (FRS)

Meters: One touch, Bayer, FreeStyle, Accu-Chek

Omnipod PDM (OPM)

Omnipod 10 pack (OP1)

Omnipod 5 pack (OP5)

Dexcom G4/5 sensors 4/pack (DG4)

Dexcom G5 transmitter (DG5)

Dexcom G6 receiver (DG6r)

Dexcom G6 Sensor 1 pack (DG6S)

Dexcom G6 Sensor 3 pack (DG63)

Dexcom G6 Transmitter (DG6T)

Dexcom G7 Sensor

Dexcom G7 Receiver

Tandem X2 (TX)

Minimed Reservoir (MR)

Minimed Quickset 390/392/399 (MQ)

Minimed Sure-T (MST)

Minimed Mio (MM)

MiniMed Quickset Paradigm (MQP)

Guardian Sensor 7020a/5pack (GS5)

Guardian Link Transmitter (GL)

Quantity of each? Please use abbreviated names

Are any of the boxes damaged?

Expiration dates? (MM/YY)

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Serving

Seattle, WA

Washington State

and surrounding areas

Contact Us

Main Phone: (206) 457-2059

Alternate Phone: (206) 457-1555

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