FreeStyle Libre 2 Reader funding form

Please answer the following questions

First Name

Last Name

Organisation

Phone

Contact Permissions

We’d love to stay in touch occasionally via email to provide you with exclusive quarterly offers. We’ll always treat your personal details with the utmost care and will never share your details with any other companies.

Yes please, I would like to hear about occasional offers and services No thanks, I don’t want to hear about offers or services

* Eligible existing FreeStyle Libre reader users only. Subject to stock availability. Full terms available here.

Ø The FreeStyle LibreLink app is only compatible with certain mobile devices and operating systems. Please check the compatibility guide for more information about device compatibility before using the app. Use of FreeStyle LibreLink requires registration with LibreView.ADC-80136 V1.0

How It Works

Pharmac funded users of FreeStyle Libre 2, who are unable to use the FreeStyle
LibreLink app, are eligible to receive a FreeStyle Libre 2 reader at no out-of-pocket
cost.
Please enter your information in the provided form and we will organise for the
FreeStyle Libre 2 reader to be sent to you. Please note, we may need to contact you to
verify your eligibility to receive a funded FreeStyle Libre 2 reader

Request A FreeStyle Libre 2 Reader Upgrade

Please answer the following questions

Thank you!

How It Works