Order supplies

To request Accu-Chek Instant meters for your NHS/HSE hospital or surgery, please simply complete the form below and we will reply to you shortly.

Please note: We can only supply free of charge blood glucose meters to NHS/HSE hospitals and surgeries. To make a direct purchase of blood glucose meters, test strips, control solutions and lancing devices/lancets, please contact the wholesalers Alliance, Phoenix or AAH.

Your order requirements

Select the product that you would like to request supplies of:

Accu-Chek Instant meter-

Accu-Chek Instant meter

How many Accu-Chek Instant meters would you like to receive? *

How many patients would you expect to provide a meter to each month?

Who do you need these meters for? *

Accu-Chek SmartGuide

Question1?

Question2?

Question3?

Please let us know if you have any further questions and we will contact you to discuss further *

Your contact information

First Name

Last Name

Main occupation

Professional email address

Professional contact number

Name of surgery / hospital

Department

Your delivery address

Address line1

Address line2

City/Town

County

Postcode/Eircode

Country

I agree that my data is processed to provide me with the requested services.

Roche Diagnostics International AG, Basel Branch Diabetes Care and Roche Diabetes Care Limited (United Kingdom) will use your data to answer your requests, provide products and services and to create your unique customer ID. Further information (e.g. on retention and sharing of your data) and your data subject rights is available in our Privacy Notice.