Welcome to GoodVitals

We help people across the United States monitor their
glucose painlessly using continuous glucose monitor (CGM) sensors.

This form helps us:

Review eligibility for CGM access

Determine if a CGM is clinically appropriate for you

Coordinate care with a licensed medical professional

Insurance-Covered
Video Consultation

We accept most major health plans

A brief video visit with a licensed clinician is required before CGM sensors can be prescribed or shipped.

This is required for safety and insurance compliance.

Required acknowledgment

I understand an insurance-covered video consultation is required to receive CGM sensors.

Demographics

We use this information to verify your insurance coverage and contact you with next steps. Your information is kept secure and confidential.

First Name^*

Last Name^*

Phone Number^*

Date of Birth^*

State

Email Address^*

Coverage Eligibility Questions

Do you have any of the following?

Prediabetes (A1C of 5.7% and over)

Type 2 Diabetes

Type 1 Diabetes

Gestational Diabetes

I’m not sure

None of these

What would you like help with?

Select all that apply.

Lowering blood sugar

Understanding food responses

Weight management

Preventing progression of diabetes

General metabolic health

Other

Verify Insurance &
Schedule Consultation

Please provide the information below so we can review eligibility and schedule your required video consultation.

Select payment method^*

Insurance

Self-pay

Insurance Provider^*

Payer Name

Other Insurance Provider

Member ID (if available)

*Information is used only for medical review, insurance verification, and care coordination.

Proceed By Phone