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Get the free National Diabetes Prevention Program Participant Registration Form

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For office use only Participant ID: ___ Cohort ID:___ Coach ID:___ Date:___ BMI:___ DSP Eligible:National Diabetes Prevention Program | Participant Registration Form First Name:___ Last Name:___ Street
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How to fill out national diabetes prevention program

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How to fill out national diabetes prevention program

01
Contact the nearest program provider to inquire about eligibility and availability.
02
Attend an information session to learn more about the program and its benefits.
03
Fill out the required enrollment forms with personal and health information accurately.
04
Participate in regular sessions focusing on healthy eating, physical activity, and lifestyle changes.
05
Track progress and goals throughout the program to monitor improvement.

Who needs national diabetes prevention program?

01
Individuals who are at risk for developing type 2 diabetes.
02
People with a history of gestational diabetes.
03
Those with a family history of diabetes.
04
Individuals who are overweight or obese.
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The National Diabetes Prevention Program is a partnership of public and private organizations working to prevent or delay type 2 diabetes.
Healthcare providers and organizations involved in diabetes prevention activities are required to file the National Diabetes Prevention Program report.
The National Diabetes Prevention Program report can be filled out online through the designated portal provided by the relevant health authorities.
The purpose of the National Diabetes Prevention Program is to collect data on diabetes prevention activities across the country and track progress in preventing type 2 diabetes.
Information such as the number of participants in diabetes prevention programs, outcomes achieved, and funding sources must be reported on the National Diabetes Prevention Program.
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