Please fill in the form below and we will keep you updated on virtual sessions near you.

The situation we all face with the COVID-19 pandemic is unprecedented, however AMSL Diabetes' continued support to you has not changed. 

As such, we wanted to let you know AMSL Diabetes is adapting in accordance with government guidelines at this time, and will be providing virtual sessions utilising stable webinar/video link platforms.

If you have any questions, please contact our Customer Care team on 1300 851 056.

Question Title

* 1. Office Use Only

Question Title

* 2. First Name

Question Title

* 3. Surname

Question Title

* 4. Email

Question Title

* 5. Contact Number

Question Title

* 6. State

Question Title

* 7. Are you a person living with Diabetes/do you have a close relative living with Diabetes OR are you a Health Care Professional?

Question Title

* 8. Do you or the person living with Diabetes currently utilise AMSL products?

Question Title

* 9. What Hospital/Clinic/Healthcare Professional do you attend?

Question Title

* 10. Which products are you interested in?

Question Title

* 11. What information would you like from your local AMSL Diabetes representative (please include any questions you have about AMSL or the product you are interested in)?

Question Title

* 12. Are you happy to be added to our email mailing list? If you don't sign up to our mailing list, you will not receive updates about our upcoming events.

T