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Tandem User's Information

Your date of birth is required to verify that you meet the minimum age requirements to sign up to participate in Team Tandem. If you are not 18 years or older, please have a parent or guardian complete this registration form on your behalf.

Parent/Guardian Personal Information

Your date of birth is required to verify that you meet the minimum age requirements to sign up to participate in Team Tandem. This form is intended for use by an individual over 18 who is a parent or guardian registering on behalf of a minor.

Tandem User's Information

Your date of birth is required to verify that you meet the minimum age requirements to participate in Team Tandem. If you are not 18 years or older, please have a parent or guardian complete this registration form on your behalf. † Please use the same email address that is associated with your Tandem Diabetes Care account, so that we may verify the account’s current status. ‡ In compliance with applicable laws, HCPs will not receive the quarterly program kits. A Health Care Professional is any person or entity (a) authorized or licensed in the United States to provide health care services or items to patients or (b) who is involved in the decision to purchase, prescribe, order, or recommend a Medical Technology in the United States. This term includes individual clinicians (for example, physicians, nurses, and pharmacists, among others), provider entities (for example, hospitals and ambulatory surgical centers), and administrative personnel at provider entities (for example, hospital purchasing agents).

Team Tandem is only open to individuals who are currently using a Tandem Diabetes Care t:slim X2 or Mobi insulin pump. Please apply again after you have received and been fully trained on your device.