You may be eligible for a FREE Liberty meter!**

If you have diabetes and are on Medicare, for a limited time you can get a free Liberty meter just for contacting us.** There is NO CHARGE for this service and no obligation.

Fill out the form on this page to see if you are eligible for a FREE Liberty meter.**
** Offer available to qualified Medicare beneficiaries with diabetes. Not available to
current Liberty patients. No purchase necessary.

Personal Information (*) indicates required field
* First Name:
* Last Name:
*Primary Phone #: ()- -
*Email Address:
*Date Of Birth:  (MM/DD/YYYY)
*Street Address:
Apt #:
*City:
*State:
*Zip:
Are you on Medicare? Yes      No
Have you been diagnosed with Diabetes? Yes      No
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For a limited time, you can get a free meter just for contacting Liberty.**
Fill out this form to learn more.


By submitting this information, I authorize the Liberty Family of Companies to contact me by phone and email.

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The Liberty meter is manufactured by AgaMatrix, Inc.