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YMCA's DIABETES PREVENTION PROGRAM REFERRAL FORM YMCA of Greater Houston Patient Name: Date of Birth: Phone: Email: Check one: English speaking? Spanish speaking? Other? To qualify participants must:
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How to fill out ymcas diabetes prevention program

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How to fill out ymcas diabetes prevention program

01
To fill out YMCA's Diabetes Prevention Program, follow these steps:
02
Visit the YMCA website and navigate to the Diabetes Prevention Program page.
03
Click on the 'Enroll Now' button to start the enrollment process.
04
Provide the required personal information, such as name, gender, date of birth, and contact details.
05
Answer any health-related questions accurately and truthfully.
06
Review and agree to the program terms and conditions.
07
Choose a convenient location and schedule for the program sessions.
08
Pay the program fees, if applicable, through the provided payment options.
09
Submit the completed enrollment form and wait for confirmation.
10
Attend the scheduled orientation session to get further instructions and materials.
11
Follow the program guidelines, attend regular sessions, and actively participate in the program to improve your diabetes prevention efforts.

Who needs ymcas diabetes prevention program?

01
YMCA's Diabetes Prevention Program is beneficial for individuals who meet the following criteria:
02
- Adults aged 18 years and older
03
- Overweight or obese (body mass index (BMI) of 25 or higher)
04
- At high risk for developing type 2 diabetes (such as having prediabetes, a history of gestational diabetes, or other risk factors)
05
- Committed to making positive lifestyle changes and willing to actively participate in the program
06
- Non-pregnant and not diagnosed with type 1 or type 2 diabetes
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The YMCA's Diabetes Prevention Program is a lifestyle intervention program designed to help participants reduce their risk of developing type 2 diabetes through education, support, and healthy lifestyle changes.
Participants who are enrolled in the YMCA's Diabetes Prevention Program and have completed the necessary assessments are required to file relevant information as part of the program's guidelines.
To fill out the YMCA's Diabetes Prevention Program, participants typically need to provide personal health information, complete assessments, and track lifestyle changes as outlined in the program materials.
The purpose of the YMCA's Diabetes Prevention Program is to empower individuals at high risk for type 2 diabetes to adopt healthier lifestyles, thereby preventing the onset of the disease through weight loss, increased physical activity, and improved dietary habits.
Participants are generally required to report on their weight, physical activity levels, dietary changes, and adherence to the program's goals and recommendations.
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