We're glad you're here!

A few things to note before we get started.

• Set up a BlueLoop account for the patient, then add caregivers to that patient's account. DO NOT create a new account for each caregiver (i.e. mom and dad).
• Are you a school personnel? CLICK HERE to enable families to connect to your school.

Questions? We’re here to help! Please contact us at john.henry@mycareconnect.com or (972) 841-1310.

Patient Information:

First Name:

Last Name:

Username:

Password:

* Invalid Password

 

The password must be at least eight characters in length and a combination of number(s) and lowercase + uppercase letters.

Zip Code:

Cell Phone #:

Time Zone:

- Select One - Eastern Time Central Time Mountain Time Pacific Time Alaska Hawaii --- INTERNATIONAL --- Atlantic Standard Time Australian Eastern Time Australian Western Time Central European Time Eastern European Time Greenwich Mean Time

Email:

First Name:

Last Name:

DOB:

Check all conditions that apply:

Asthma

Severe Allergies

Diabetes

Other - Use this option to manage any conditions not listed above

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Does the child use insulin?

Yes

No

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How is the insulin administered?

Injections

Insulin Pump

Do you want this child to have his 0r her own username and password?

Having a unique username and password allows the child to submit information into the BlueLoop account via mobile or Internet, as well as receive notifications.

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Yes

No

Child Username:
Child Password:	* Invalid Password
The password must be at least eight characters in length and include a combination of lowercase + uppercase letters.

Subscription Information:

$7.95 Per Month

Promo Code:

NOTE: BlueLoop is $7.95 per month for families, and is free for schools and doctors. We believe no one should be denied the peace of mind BlueLoop provides. If your family cannot afford the monthly subscription fee, please call us to set up your FREE account. (972) 841-1310

Billing Information:

First Name:

Last Name:

Address:

City:

State:

Zip:

Card #:

Expiration Date:

01 02 03 04 05 06 07 08 09 10 11 12

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2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036

CCV Code:

Final step!

How did you hear about us?: - Select One - Diabetes Educator (CDE) Doctor Event BlueLoop Attended Support Group School Nurse Web Search Other

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