ENROLL TODAY TO RECEIVE ONE-ON-ONE SUPPORT!

* By checking this box, I am confirming that I am a legal representative/caregiver for a patient who has been prescribed an Abbott product and would like to receive additional support for the patient named above. I understand and agree to the Get Started Libre Support Program Terms and Conditions.

* By checking this box, I understand and agree that Abbott and its service providers will collect and process my personal information and, agree on behalf of the patient, that the patient's personal information will be collected and processed in accordance with the Abbott Privacy Policy and its Consumer Health Data Privacy Policy; I further understand and agree that Abbott and its contracted service providers may collect and process the patient's Sensitive Data/Consumer Health Data, as defined by applicable laws, including information about my health such as, health conditions, treatments, and/or health related procedures, as necessary to evaluate the patient's eligibility to participate and to enroll me and the patient in the Libre Support Program, which includes providing me as the caregiver (and where appropriate, the patient), with personalized support services and promotional, informational, and non-promotional communications and messaging related to the patient's FreeStyle Libre systems sensors and associated apps.

(Optional) By checking this box, I agree that Abbott may use and process the patient's Sensitive Data/Consumer Health Data to send me on behalf of the patient, non-promotional communications, informational and promotional email about other Abbott products and services and/or associated conditions and treatments (in addition to any messaging I may receive as part of the Libre Support Program above) in accordance with the Abbott Privacy Policy.

This website and the information contained herein is intended for use by residents of the United States.

This Program is available for patients with Type 1, Type 2, or gestational diabetes and/or caregivers supporting these patients. Patients ages 4-17 are eligible for the Program through their parent or guardian. The Program is not provided as any inducement for future purchases. This Program is void where prohibited by law. Abbott may modify or rescind this Program at any time without notice.

Important Safety Information

FreeStyle Libre 2 and FreeStyle Libre 3 systems: Failure to use FreeStyle Libre 2 or FreeStyle Libre 3 systems as instructed in labeling may result in missing a severe low or high glucose event and/or making a treatment decision, resulting in injury. If glucose alarms and readings do not match symptoms or expectations, use a fingerstick value from a blood glucose meter for treatment decisions. Seek medical attention when appropriate or contact Abbott at 855-632-8658 or FreeStyleLibre.us for safety info.

ADC-97407 v1.0