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If you are new to living with diabetes, or have decided to upgrade your diabetic supply provider, welcome to Pinnacle! 

We look forward to empowering you to successfully manage your diabetes. Your time is very important to us and we understand you may need your products soon. To help you expedite the process, the form you need to complete is below. Simply complete and submit the form online. 

If you prefer the forms be emailed or mailed to you directly, please contact us now. Once everything is completed, we will get your order out the door. 

"I was very impressed with the promptness of contacting, delivery, service, and phone calls. I think you are doing an awesome job!"



Pinnacle Patient since February 2016

To print a physical copy of the Assignment of Benefits and Customer Orientation Form, click here. Your completed form can be returned via:


fax- 1-888-416-0009

mail- 6856 CObblestone Blvd, Southaven, MS, 38672

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