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Get the free YMCA's DIABETES PREVENTION PROGRAM REFERRAL FORM

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Diabetes Prevention Program YMCA OF SAN FRANCISCOPROVIDER REFERRAL FORM *Required information to complete enrollmentSECTION 1: PARTICIPANT DETAILS *Name (First, Last) ___ *DOB ___*Gender Female MalePatient
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How to fill out ymcas diabetes prevention program

01
Attend an information session to learn more about the program.
02
Complete the eligibility screening to ensure you meet the criteria.
03
Schedule an initial meeting with a program coordinator to discuss your goals and motivations.
04
Participate in weekly sessions with a trained lifestyle coach to learn about healthy eating, physical activity, and stress management.
05
Track your progress and monitor your blood sugar levels regularly.
06
Engage in group discussions and activities to support your journey towards preventing diabetes.

Who needs ymcas diabetes prevention program?

01
Individuals who are at high risk for developing type 2 diabetes.
02
People who have been diagnosed with prediabetes and want to prevent the onset of diabetes.
03
Individuals who are looking to make lifestyle changes to improve their overall health and well-being.
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YMCA's Diabetes Prevention Program is a lifestyle intervention program designed to help adults at high risk of developing type 2 diabetes make sustainable lifestyle changes.
Individuals who are at high risk of developing type 2 diabetes are required to enroll in YMCA's Diabetes Prevention Program.
To enroll in YMCA's Diabetes Prevention Program, individuals must attend weekly sessions that focus on healthy eating, physical activity, and behavior change.
The purpose of YMCA's Diabetes Prevention Program is to prevent or delay the onset of type 2 diabetes through lifestyle changes.
Information such as weight, diet, physical activity levels, and progress towards behavioral goals must be reported on YMCA's Diabetes Prevention Program.
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