Product interest request form

Thank you for your interest in MiniMed products and services. Please complete the items below so that we may provide you helpful information regarding our diabetes therapies.

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Have you ever used a MiniMed insulin pump?
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You indicated that you’re not using insulin to manage your diabetes. Our insulin pumps are approved for the continuous delivery of insulin, so this device may not be a good fit for you at this time.

We have other resources that may be helpful for you:

Sign-up to receive our newsletter for monthly updates and tips
Visit our blog to read helpful diabetes stories and perspective from the community

If your circumstances change, please check back with us and we’d be happy to discuss therapy options that may fit your needs.

You indicated that you’re not using insulin to manage your diabetes. Our insulin pumps are approved for the continuous delivery of insulin, so this device may not be a good fit for you at this time.

We have other resources that may be helpful for you:

Sign-up to receive our newsletter for monthly updates and tips
Visit our blog to read helpful diabetes stories and perspective from the community

If your circumstances change, please check back with us and we’d be happy to discuss therapy options that may fit your needs.
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This form is for customers in the Unites States only. For more information about our products in your region please see our list of international locations.

How can we communicate with you?
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HIPAA Marketing Authorization

MiniMed respects the privacy of all our customers. With your permission, we may use your protected health information, including your contact information and health-related data, for marketing purposes, promotional offers, survey opportunities, and advertising that we think may be of interest to you. We may also share your information with MiniMed representatives and contractors who are assisting us with these activities.

I understand that this Authorization may permit MiniMed to contact me by text message, telephone, or email. With respect to text messages, I consent to receiving text messages at the phone number(s) submitted using automated technology from or on behalf of MiniMed, concerning the marketing, advertising, and/or offers of sale of MiniMed products, therapies, and services. I also certify that I am (a) age 18 or older and (b) authorizing and consenting to use of the information provided for MiniMed to contact me. My consent is not a condition for purchase. Airtime, message, and data rates may apply. I may opt out at any time by (i) texting "STOP" in reply to a text; (ii) sending an email to takecontrol@medtronic.com; or (iii) signing into my MiniMed myHome profile and updating my communication preferences (www.diabetes.shop/communication).

Please note that this Authorization is optional, and you may refuse to opt in. If you do not want to opt in, it will not affect your treatment, health insurance eligibility, or benefits, and you will not be stopped or prevented from accessing the CareLink™ Personal system, or other MiniMed products, mobile apps, or services.

This Authorization will expire ten (10) years from the date you submit it online. You may revoke it by:

Opting out will not affect actions already taken. Information disclosed may be re-disclosed and no longer protected by federal privacy standards. Questions? Contact Customer Service at 800-646-4633 or takecontrol@medtronic.com.

If you arrived on this site via a social media platform, by submitting this form you agree that MiniMed may share your visit to this site with that platform. This information may be used and/or re-disclosed by the originating site under their own privacy practices. See our Privacy Policy for more information. Click here to request information without submitting this form.

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