Get the free D-H Diabetes Self Management Referral Form - dhmc

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Phone: (603) 650-8630 Fax: (603) 650-2240 Referral Form Diabetes Self Management Program Patient Name: Today s Date: DOB: SSN: Mailing Address: Home Phone: Work Phone: Cell Phone: Health Insurance:

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What is d-h diabetes self management?

D-h diabetes self management is a program designed to help individuals with diabetes manage their condition effectively through proper medication, diet, exercise, and monitoring.

Who is required to file d-h diabetes self management?

Individuals with diabetes who want to participate in the self management program are required to file d-h diabetes self management.

How to fill out d-h diabetes self management?

To fill out d-h diabetes self management, individuals need to provide information about their medication, dietary habits, exercise routine, and monitoring logs.

What is the purpose of d-h diabetes self management?

The purpose of d-h diabetes self management is to empower individuals with diabetes to take control of their condition and improve their overall health and well-being.

What information must be reported on d-h diabetes self management?

The information to be reported on d-h diabetes self management includes medication details, dietary intake, exercise activities, blood glucose readings, and any other relevant health data.

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