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Medicare Patient Log
Please fill in the entire
30 day log and sign your name at the bottom so that it
reflects all of your daily testing. We can only send you the
amount of test strips per month that are recorded on this log,
so be sure to make it complete. Medicare will only reimburse
for the level of testing that is reflected on this log record,
so it is very important that you fill in the log accurately and
completely in order to obtain your full Medicare benefits. If
you should have questions, please call our office at 1-800-453-9033.
CLICK
HERE FOR PRINTABLE LOG (will open new window)
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