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AUTHORIZATION FOR DIABETES MANAGEMENT FOR SCHOOL YEAR 20122013 Students Name (Last, First, Middle) Birth Date / Medicaid # Grade/Homeroom Teacher / Parent Emergency Phone # / PART I. STUDENT IS SELF

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What is authorization for diabetes management?

Authorization for diabetes management is a document that allows healthcare providers to manage and treat a patient's diabetes.

Who is required to file authorization for diabetes management?

Healthcare providers such as physicians, nurses, and pharmacists are required to file authorization for diabetes management.

How to fill out authorization for diabetes management?

Authorization for diabetes management can be filled out by providing patient information, treatment plans, and any necessary signatures.

What is the purpose of authorization for diabetes management?

The purpose of authorization for diabetes management is to ensure proper management and treatment of diabetes for the patient.

What information must be reported on authorization for diabetes management?

Information such as patient demographics, medical history, current medications, and treatment plans must be reported on authorization for diabetes management.

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