Easy to use sample ordering system

Please complete the form below and our support team will respond to your request. If you have any questions, please contact our Samples Support Team at canada.service@lifescan.com.

Please note that this is a one-time order. Visit this page to order more samples as needed.

Your personal information will be governed by the Privacy Policy

Select the item you wish to order*:

OneTouch^® free meter coupon (CA-VRF-2200197)

*Required fields.

Quantity

Clinic Name

Clinic Address

City

Province/Territory

Postal Code

First Name

Last Name

Email Address

Phone Number

I would like to receive diabetes-related communications regarding products, promotions, educational programs, and services from LifeScan Canada ULC. I understand I can subsequently withdraw my consent by emailing canada.service@lifescan.com if I choose.

CA-OTB-1900025