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ConfidentialWIRE Trial service evaluation Page 1 of 8WIRE Service Evaluation Record ID___Demographics Patient age___SexFemaleMaleEmployment statusFulltime employed Parttime employed Selfemployed Unemployed
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How to fill out employment status and diabetic

01
Employment Status: Fill out your current employment status by selecting options like employed, unemployed, student, self-employed, etc.
02
Diabetic: Fill out whether you have diabetes or not by selecting yes or no.

Who needs employment status and diabetic?

01
Employment Status: Employers, government agencies, insurance companies, financial institutions, etc. may require your employment status for various purposes.
02
Diabetic: Healthcare providers, medical professionals, insurance companies, and individuals with diabetes or at risk of diabetes may need to know about diabetic status.
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Employment status refers to the classification of an individual's work situation, while 'diabetic' often pertains to health-related information regarding a person's diabetes condition. It's important to understand their interaction, especially concerning workplace accommodations and health insurance.
Individuals seeking employment or current employees may need to file this information for health benefits or to qualify for specific job-related accommodations.
Filling out the employment status and diabetic forms typically involves providing accurate personal information, employment details, and health-related data as required by forms or employer guidelines.
The purpose is to ensure employers have the necessary information to support employees' health needs, accommodate disabilities, and manage health insurance policies effectively.
Information may include personal identification, job title, salary, diabetes type, treatment plans, and any requested accommodations.
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