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Log Book Entry


You can also navigate directly to this page by going to www.diabeticlogbook.com

Please fill out the log and then press SUBMIT at the bottom of the page when you are done.




Month: /
(e.g. mm/yyyy)
Email Address:
Patient ID:
How many times per day on average are you actually testing your blood:
Are you using Insulin Injections?


Month Test 1 Test 2 Test 3 Test 4 Test 5 Test 6 Test 7 Test 8 Comments





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at 1-877-840-8218


Find Out More:
First Name:
Last Name:
Phone: (e.g. ###-###-####)
I'm interested in:
Diabetic Supplies
CPAP Supplies & BiPAP Masks
Breathing Medications & Nebulizers
Urological Catheters
Braces: Back, Ankle, Knee, Wrist
Other Products
US MED and its affiliates may occasionally have products or services that we think may be of interest to you. By pressing the Submit button above, you give us your consent to use automated technology to call you at the phone number(s) above, including your wireless number if provided. Please note that you are not required to provide this consent to make a purchase from us.



US MED · 8260 NW 27th Street, #401 · Doral, FL 33122

Current Patients Call:

1-877-USMED-98 (877-876-3398)

New Patients Call:


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