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Request CGMs, Testing Supplies, or Diabetes DME
Whether you’re a patient, family member, clinic, or long-term care provider, this is the simplest place to request diabetes supplies. Submit a quick form and our team will review insurance benefits, confirm any required documentation, and guide you through the next steps before anything ships.
Important: Privacy Notice & Consent to Contact
By submitting this form, you agree and understand the following:
You are requesting to be contacted by Sego Med Supply regarding products or services that may be of interest to you. This may include information about Continuous Glucose Monitors (CGMs) and other durable medical equipment.
The information you provide is voluntarily submitted and will be used solely for the purpose of responding to your inquiry and determining your potential eligibility for our offerings.
You authorize Sego Med Supply to contact you via phone, email, or SMS/text message, including through automated technology or prerecorded messages, at the contact details you provide even if your number is on a federal or state Do Not Call list.
This website and form are intended for informational and lead-generation purposes. Submitting this form does not create a patient relationship or guarantee product eligibility.
Your personal information will be handled in accordance with HIPAA and applicable privacy laws, and will not be shared with third parties except as required to fulfill your request or as permitted by law.
By clicking “Submit Order Request,” you provide your express written consent to be contacted by or on behalf of Sego Med Supply.
Contact Us
Need help with an order, refill, or documentation? Our team is here to support you.