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Patient Label DIABETES EDUCATION REFERRAL Diabetes Clinic Fax: (613) 2584997 Phone (bookings): (613) 2586133 Ext. 400 Option 4 Please indicate education program preferred: Diabetes Education Prediabetes

How to fill out diabetes education referral

Who needs diabetes education referral?

1. Individuals diagnosed with diabetes: People who have been diagnosed with diabetes, whether it is type 1 or type 2, may benefit from diabetes education. This referral can provide them with valuable information and guidance on managing their condition effectively.
2. Newly diagnosed patients: Patients who have recently been diagnosed with diabetes may require additional support and education to understand the condition, its management, and lifestyle modifications that can improve their overall health.
3. Patients experiencing difficulty in diabetes management: Some individuals may struggle to control their blood sugar levels despite their best efforts. In such cases, a referral to diabetes education can help them identify strategies to better manage their condition and improve their overall health outcomes.

How to fill out diabetes education referral?

1. Patient information: Include the name, date of birth, address, and contact information of the patient requiring the referral. This ensures that the referral accurately identifies the individual in need of diabetes education.
2. Healthcare provider information: Include the name, contact information, and credentials of the healthcare provider making the referral. This allows the diabetes education program to communicate with the referring provider if necessary.
3. Reason for referral: Indicate the reason for the referral, such as a recent diabetes diagnosis, challenges in blood sugar control, or the need for comprehensive education on self-management techniques. Providing specific details can help the diabetes education program tailor their approach to best meet the patient's needs.
4. Relevant medical history: Include any pertinent medical history, such as coexisting conditions or medications, that may impact diabetes management. This information helps the diabetes education program develop an individualized education plan.
5. Patient's goals and expectations: Ask the patient to provide their goals and expectations for diabetes education. Understanding what they hope to achieve through the referral can assist the diabetes education program in customizing their approach and setting realistic objectives.
6. Referring healthcare provider's signature: Obtain the healthcare provider's signature on the referral form to validate the request for diabetes education referral.

By following these steps, you can effectively fill out a diabetes education referral and ensure that the patient receives the necessary education and support to manage their condition effectively.

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What is diabetes education referral?

Diabetes education referral is a referral for individuals diagnosed with diabetes to receive education on managing their condition effectively.

Who is required to file diabetes education referral?

Healthcare providers and physicians who diagnose individuals with diabetes are required to file diabetes education referral.

How to fill out diabetes education referral?

Diabetes education referral can be filled out by including the patient's information, diagnosis, and the recommended diabetes education program.

What is the purpose of diabetes education referral?

The purpose of diabetes education referral is to provide patients with resources and guidance on managing their diabetes through education and support.

What information must be reported on diabetes education referral?

The information reported on diabetes education referral includes patient demographics, diagnosis, healthcare provider information, and recommended education program.