CHECKLISTS AND REIMBURSEMENT FORMS

PDM UST400

UST400 Pod Trainer Certification Exam: Is available through the new Insulet Certification Portal. Contact your Clinical Services Manager today for more information on becoming certified.

  • UST400 Pre-Pod Training Checklist: Documents the education your patients must receive prior to training. Download
  • UST400 Saline/Insulin Start Omnipod® Checklist: Lists the points that are essential to cover during patient training. Download
  • UST400 Pump Therapy Orders: Records your patients’ basal rates, BG goals and bolus data. Download
  • UST400 Follow-up Omnipod® Training Checklist: Details key points you may need to review with your patients. Download
  • Reimbursement Form: You may use any standard invoice or our reimbursement form to submit for payment. Download

Send them to Insulet

Via fax: 877-467-8538
Via mail:
Insulet Training Department
600 Technology Park Drive, Ste 200
Billerica, MA 01821

Should you have any questions, please feel free to call us at 800-591-3455.