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REFERRAL FORM For triage purposes, Lab results and medications MUST BE completed or attached CLIENT INFORMATION Surname: Name: (m) (f) Address: Postal Code: Preferred Language: Client Physician :

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What is diabetes education resource der?

Diabetes Education Resource DER is a form used to report diabetes education resources offered by healthcare facilities.

Who is required to file diabetes education resource der?

Healthcare facilities, including hospitals and clinics, are required to file the diabetes education resource DER.

How to fill out diabetes education resource der?

Healthcare facilities must fill out the form by providing information on the diabetes education resources they offer.

What is the purpose of diabetes education resource der?

The purpose of the diabetes education resource DER is to track and report the diabetes education resources provided by healthcare facilities.

What information must be reported on diabetes education resource der?

Information such as the type of diabetes education resources offered, the target audience, and the number of participants must be reported on the diabetes education resource DER.

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