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200 Memorial Avenue Westminster, MD 21157 4108716957 or 4108716583 Fax: 4108404016 REFERRAL FOR DIABETES SELF-MANAGEMENT EDUCATION PROGRAM Patient Information: (Patients or family may fill in top
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What is referral for diabetes self-management?
Referral for diabetes self-management is a recommendation or request made by a healthcare provider for a patient to receive specialized care or services to help them better manage their diabetes.
Who is required to file referral for diabetes self-management?
Healthcare providers such as doctors, nurse practitioners, or physician assistants are typically required to file a referral for diabetes self-management.
How to fill out referral for diabetes self-management?
To fill out a referral for diabetes self-management, healthcare providers would need to provide the patient's medical history, current diabetes management plan, and any specific recommendations for specialized care.
What is the purpose of referral for diabetes self-management?
The purpose of a referral for diabetes self-management is to ensure that patients with diabetes receive the necessary care and support to help them effectively manage their condition.
What information must be reported on referral for diabetes self-management?
Information such as the patient's medical history, current diabetes management plan, any specific recommendations for specialized care, and contact information for the referring healthcare provider.
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