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Get and Sign Sanofi HIPAA Consent Form

Get and Sign Sanofi Patient Connection Application Form

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INFORMATION First Name: MI: Last Name: Gender: City: Address: Phone #: State: Date of Birth: Primary Insurance: Policy #: Policy Holder Name: Date of Birth: Insurance Phone #: Group #: M F Zip Code: Social Security #: No Insurance? Secondary Insurance: Policy #: Policy Holder Name: Date of Birth: Insurance Phone #: Group #: 2. TREATMENT AND PRESCRIBING INFORMATION (see instructions on page 3 for available products) For , indicate pens or...
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Instructions and help about sanofi patient connection

My name is Sarah I'm a certified diabetes educator today I'm going to demonstrate how to give using a pen first you need to gather your supplies which would be the pen itself an alcohol swab and the pen needle then you want to wash your hands with soap and water or use an alcohol sanitation solution rub your hands together until its dry start by removing the cap to the pan at this point if you have cloudy which would include MPH or mixture thereof you want to mix it you mix it with your palms like rolling it together, or you can go gently back and forth you don't want to rigorously shake it if you have clear that does not contain MPH then you can, you don't have to mix you can skip that part all together use your alcohol lights to wipe the rubber membrane on the end of the pen and then remove the protective tab on the pen needle push the needle into the end of the pen and turn it clockwise to tighten it next you want to do what we call a safety check to make sure there's no air in the

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