Resources

Questions about policies, coverage, or otherwise need help to receive the best quality care? Use our resources below to find the information you need:

Forms

  • Reorder Supplies

    In need of more supplies? Re-order today by filling out our order form!

    Order Form 

  • Assignment of Benefits Form (English)

    Authorize Reliable Diabetes Care to coordinate coverage with your insurance company.

    Assignment of Benefits 

  • Assignment of Benefits Form (Español)

    Autorice a Reliable Diabetes Care a coordinar la cobertura con su compañía de seguros.

    Assignment of Benefits 

  • Change of Supplier E-Sign Form

    Transfer acknowledgement form.

    Change of Supplier 

  • FreeStyle Libre Sensor Support Form

    Freestyle Libre replacement form for faulty or defective sensors.

    Libre Replacement 

  • Dexcom Sensor Support Form

    Dexcom replacement form for faulty or defective sensors.

    Dexcom Replacement 

Information

  • Healthcare Professional Resources

    Reliable Diabetes Care Prescription Form.

    Prescription 

  • Guide to Medicare Coverage

    Comprehensive guide for Medicare eligible beneficiaries.

    Medicare Guide 

  • Reliable Patient Brochure

    Reliable Diabetes Care Patient Information Privacy Booklet.

    Patient Information 

Portals

  • Billing Portal

    See your payment history, set up auto pay and view/pay invoices.

    Billing Portal 

  • Returns Portal

    Return any unopened supplies approved by Reliable Diabetes Care team.

    Returns Portal