Attention: Please immediately report any medical event associated with your sensor issue by calling our Customer Care Team directly at 800-741-92. Some examples of a medical event are:

• Required medical attention from yourself or someone else (such as a healthcare professional or caregiver) due to the sensor issue.

• Experienced a loss of consciousness (fainted, couldn't respond to sound or touch) due to the sensor issue

• Had a seizure (loss of muscle control or violent muscle contractions) due to the sensor issue

I did not experience loss of consciousness or seizure and did not require medical or self-administered intervention (self-administered intervention can include consuming food, self-injection of insulin, self-application of ointment, etc.) related to this product issue.

I am over the age of 18 and don't require a parent's or guardian's consent to complete this form

I understand and agree that Abbott will process my sensitive data (i.e., medical history, mental or physical health condition, or medical treatment or diagnosis by a health care professional) in order to report my sensor issues and send me a replacement sensor.

For information on the processing of your personal data in connection with the handling of your request, please refer to our Privacy Policy here.

Alternatively, you can request support by calling our customer service directly on the toll-free number 800-741-92.