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Omnipod Trial Sign Up at FFL Orlando 2022

  • Insulet will be offering Omnipod saline trials on Wednesday and Thursday at Friends for Life Orlando 2022 in Toluca A, a small room across from Veracruz A. We have limited space and registration is required.
  • We need to know the birthdate of the person who will trial the Omnipod.
  • Please include the name of a parent or guardian for youth under 18 who will trial the Omnipod.
  • We need to know your address so we can follow up with you after the conference.
  • We need your email address so we can provide you with information about your Omnipod trial. It will not be used for any other purpose.
  • We ask for your mobile phone so we can contact you at the conference in case something changes.
  • This helps us understand how much training you will need. If the person trialing the Omnipod doesn't take insulin, please note how the relative with type 1 does.
  • This is for the person who will trial the Omnipod. Check all that apply.
  • We will be offering saline Omnipod trials on Wednesday and Thursday. Please let us know your preferred date and general time. We will do our best to accommodate your preference.