Contact Request Form
Thank you for visiting the LifeScan Canada Ltd. Web site. You can let us know what you think about our site or ask us questions about our company, products, or services by completing the following details and sending your request. If you are a OneTouch® or LifeScan Canada customer and have an immediate product concern, please telephone our Customer Care Line at 1 800 663-5521. For other countries, see
Around the World
.
All information you provide is optional, except first name, last name, and e-mail address. By submitting your information, you consent to our collection, use, and disclosure of personal information as described and as further described in our
Privacy Policy
. Your personal information will be used to consider and respond to your request and maintain a record of correspondence. Your optional answers will help us provide you with information, products, and services that better meet your needs and interests. We may also send you information in which we think you might be interested if you check that preference box.
Please note that “Meter Used” is not a mandatory field, but answering this question might help us serve you better.
BOLD
fields are mandatory.
• Contact Us
Message Category:
Select
Meter Question/Problem
Test Strip Question/Problem
Lancing Device/Lancets Question/Problem
Control Solution/Check Strip Question/Problem
OneTouch Software Question/Problem
OneTouch Interface Cable Question/Problem
Personal Information Change Request
Web Site Comment
Lifescan Canada Privacy Policy
Other
Salutation:
Select
Mr.
Mrs.
Miss
Ms.
Dr.
First Name:
Last Name:
Address:
Phone Number:
(with area code)
E-mail Address:
Year of Birth:
Meter Used:
Select
OneTouch® Ultra®
OneTouch® UltraSmart®
OneTouch® FastTake®
OneTouch® SureStep®
OneTouch® Basic®
OneTouch® Profile®
OneTouch® II
InDuo® System
Other
Reason for site visit:
Select
Meter information/question
Test strip information/question
Download software
Contact information
Marketing promotions
Diabetes information
Other
Questions or Comments:
YES, I would like to receive occasional communications and diabetes-related information from LifeScan Canada. This may include communications about LifeScan Canada's products, services, samples, offers, and promotions or similar material LifeScan Canada may send about related products and services of other companies.
AW 083-294B
The health information on this Web site is for general background purposes and is not a substitute for medical advice or treatment for specific conditions. Seek prompt medical attention for health care questions you have. Consult your physician before making changes to your medication, diet, fitness program or blood glucose testing schedules.