Sample Request for People with Diabetes

Research shows people with diabetes prefer Clickfine's click-on pen needles over traditional screw-on pen needles. See why - try it for yourself!

Please allow 4-6 weeks for delivery. The offer is valid while supplies last. Available in the U.S. where permitted by law (excludes Delaware, Massachusetts, New Jersey and Pennsylvania). Your information is safe with us; view the Clickfine® Privacy Policy.

Fields marked with an asterisk (*) are required.

Personal Information

* First Name:

Middle Initial:

* Last Name:

* Address:

Address (Line 2):

* City:

* State:

* Zip Code:

* Email Address:

* Phone Number: () —

Questions

* What best describes you?

* What is your usual method of injecting?

* If you use insulin syringes, what brand do you use most often?

* If you use pen needles, what brand do you use most often?

* How are your insulin syringes or pen needles paid for?

Sample Pack Desired

Please tell us which pen needle you would like to try:
(Note: please consult with your health professional before changing pen needle lengths.)

Clickfine Pen Needle Sample Pack 6mm, 31G
Clickfine Pen Needle Sample Pack 8mm, 31G

QUICK LINKS

Tips

Choose the Right Pen Needle Length
Selecting the right pen needle length helps ensure a subcutaneous injection, injecting the medication into the subcutaneous tissue under your skin, for proper medication absorption. Your healthcare professional can recommend a needle length that is right for you.

Where to Buy Clickfine

Visit a store near you to find Clickfine Pen Needles and co-branded pen needles made with Clickfine technology.

At Your Fingertips

You can find useful information at our Learning Center. Check out and download our Injection Techniques and Tips.