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Diversity Impact Assessment: Screening Form Directorate Regeneration Culture and Community Name of Function or Policy or Major Service Change Building Control Partnership Officer responsible for assessment
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How to fill out dia_screening_form dec 09appx 2

Who needs dia_screening_form dec 09appx 2?
01
Individuals who suspect they may have diabetes or have been advised by a healthcare provider to complete the form.
02
People who want to assess their risk for developing diabetes or want to monitor their diabetes control.
03
Individuals who want to participate in a diabetes screening program or research study.
How to fill out dia_screening_form dec 09appx 2:
01
Start by reading the instructions provided with the form. Make sure you understand the purpose of the form and the information you need to provide.
02
Begin by filling in your personal details, such as your full name, date of birth, gender, and contact information. Ensure that the information is accurate and up-to-date.
03
Move on to the medical history section. Here, you will be asked questions about your family history of diabetes, previous diabetes diagnoses, and any related complications. Answer each question truthfully and to the best of your knowledge.
04
The next section typically focuses on lifestyle factors that can influence diabetes risk, such as physical activity, dietary habits, and alcohol/tobacco consumption. Provide accurate information about your lifestyle choices.
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Some forms may include a section on symptoms you may be experiencing, such as excessive thirst, frequent urination, unexplained weight loss, or blurred vision. Mark the relevant checkboxes if these symptoms apply to you.
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If provided, there might be a section dedicated to assessing your knowledge and awareness of diabetes prevention and management. Answer these questions to the best of your ability.
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Finally, check if there are any additional sections requesting specific information or signatures. Carefully review your answers and make any necessary corrections or additions.
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Once you have completed the form, ensure that all required fields are filled, and double-check for any errors or omissions.
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If necessary, make a copy of the completed form for your records. Some organizations may require you to submit the form electronically, while others may accept printed copies.
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If you have any questions or concerns while filling out the form, it is advisable to seek assistance from a healthcare professional or the organization responsible for distributing the form.
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