Field Safety Notice
Acknowledgement

Accu-Chek Solo system
Manufacturer’s reference: SB_RDC_2023_02/03/04
SRN number: DE-MF-000006276

In September 2023, Roche Diabetes Care sent out a field safety notice related to Accu-Chek Solo system.

If you have received a letter from us, please confirm that you have received and understood this communication by completing the form below.

Customer ID *

Your Customer ID can be found in your letter or email communication (for example ACC-0000000000).

First name *

Last name *

Postcode *

Email address

Please provide us with your email address if you would prefer future correspondance from us by email.

I confirm that I have read and understood this communication and will return affected stock for replacement.

Acknowledgement *

I acknowledge this communication

I am still on a Roche pump but no longer on Accu-Chek Solo

I am no longer a Roche pump user

Roche Diabetes Care Limited is committed to using your personal information in accordance with our Privacy Notice. In order for us to reconcile acknowledgements we need to process your personal information.

Leave this field blank

Field Safety Notice Acknowledgement

Field Safety Notice
Acknowledgement