Order Samples Home Have you previously ordered samples through our website?If so, please use this Reorder Samples form. Thank you! Current Start Account information Order Information Complete First Name Last Name Email Title What is your position? - Select -MDDONPCDENurseMAPAother Do you work in a diabetes education center without a prescriber? - Select -YesNo Unfortunately, diabetes education centers without a prescriber will need to enroll over the phone. Please call us at 1-800-778-7505 to complete your enrollment. Yes, please send me email communications. To contact us or to opt-out of receiving future advertisements, please email us at accuchekdelivers@roche.com.