Once you complete this form with all required information, we hope to fulfill your request within 3 weeks.
Demo Pods are only available to residents of Canada and can only be shipped to a Canadian mailing address.
Note: The free demo Pod is non-operational and for demonstration purposes only. Before starting on the Omnipod ® insulin management system, you must talk to your healthcare provider about the benefits and potential risks, as well as the responsibilities that come with insulin pump therapy, and whether it is right for you.
All fields marked with an asterisk (*) are required. Failing to provide all the required information will delay your request being completed.
Please be aware that you may withdraw your consent from receiving email messages regarding the Omnipod ® insulin management system – Free Demo Pod Offer from the Omnipod® Team at any time. In order to do so, please indicate your desire to unsubscribe in an email to omnipodcanada@insulet.ca.
Omnipod® is a registered trademark of Insulet Corporation. © 2015 Insulet Canada Corporation.
All rights reserved. This site is not intended as a means for reporting an adverse event or medical device incident for any Insulet product. To report an adverse event or medical device incident, please call 1-855-763-4636. The contents of this site are for information purposes only and are not, in any way, intended to replace or substitute the advice of your physician. This site does not provide medical advice. Please read Legal Information. Before deciding on the Omnipod ® insulin management system, you must discuss with your healthcare practitioner the benefits and potential risks of the Omnipod ® insulin management system, as well as the responsibilities that come with insulin pump therapy.
