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Debra F. Latimer Nutrition and Diabetes Associates, LLC DIET HISTORY FORM Name Address Apt. Date Age DOB Sex City State Zip Home # Work # Occupation Number of adults in household Number of children

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What is latimer nutrition and diabetes?

Latimer nutrition and diabetes refers to a form that must be completed by individuals who have been diagnosed with diabetes and are seeking nutrition counseling services.

Who is required to file latimer nutrition and diabetes?

Individuals who have been diagnosed with diabetes and are seeking nutrition counseling services are required to file latimer nutrition and diabetes.

How to fill out latimer nutrition and diabetes?

To fill out latimer nutrition and diabetes, individuals must provide personal information, details about their diagnosis, and any specific dietary preferences or restrictions.

What is the purpose of latimer nutrition and diabetes?

The purpose of latimer nutrition and diabetes is to help healthcare professionals understand the dietary needs and preferences of individuals with diabetes in order to provide tailored nutrition counseling services.

What information must be reported on latimer nutrition and diabetes?

Information such as personal details, medical history, dietary preferences, and any current nutritional concerns must be reported on latimer nutrition and diabetes.

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