User's Guide

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Omnipod® 5 Automated Insulin Delivery System User Guide
Contacts and Important Information
Customer Care
1-800-591-3455 — 24 hours/7 days
1-978-600-7850 when calling from outside the United States of America
Customer Care Fax: [phone]
Website: omnipod.com
Address: Insulet Corporation
100 Nagog Park, Acton MA 01720
Emergency Services: Dial 911 (USA only; not available in all communities)
Controller Model PDM-USA-H001-MG
Serial Number ________________
Controller FCC ID: 2ADINN5004L
Pod FCC ID: RBV-029
Omnipod® 5 Automated Insulin Delivery System
Start Date _____________
Healthcare Provider Omnipod® Trainer
Name Name
Address Address
Phone Phone
Email Email
Health Insurance Pharmacy
Name Name
Address Address
Phone Phone
Policy Number Email
Effective Date: 22DEC2020, PCO-000267