Roche Accu-Chek Instant User manual

Dear Healthcare Professional,
I have changed my blood glucose testing system and I require a
prescription change to:
Accu-Chek Instant system
Instant Test Strips (50) FastClix Lancets (204)
Name
Postcode Date of Birth (DOB)
PRESCRIPTION
CHANGE REQUEST

WARNING
The Accu-Chek FastClix lancing device is intended for patient self-monitoring by
an individual person only. It must not be used to collect blood from more than one
person as it does not incorporate any features to guard against cross-infection.
© 2021 Roche Diabetes Care Limited. All rights reserved.
ACCU-CHEK, ACCU-CHEK INSTANT and FASTCLIX are trademarks of Roche.
All other product names and trademarks are the property of their respective owners.
Roche Diabetes Care Limited, Charles Avenue, Burgess Hill, West Sussex, RH15 9RY, UK.
Company Registration Number 9055599
For use in the UK & Ireland only. This document is intended for the use of People with
Diabetes with their Healthcare Professionals.
Date of preparation: February 2021
Material Number: 09426582001
www.accu-chek.co.uk www.accu-chek.ie
BGMCONS2021060
Important prescription information for Healthcare Professionals
Accu-Chek®products on clinical prescribing systems are NOT prefixed
with the Accu-Chek name.
In Practice Software (INPS): Products are listed strictly alphabetically.
Multilex Drug Data file: the descriptors and the read codes are as
above on all systems incorporating this data file.
Important information for person with diabetes
Only send this prescription change request to your Healthcare
Professional. Please do not send this form to Roche.