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NIAGARA CATHOLIC DISTRICT SCHOOL BOARD STUDENT DIABETES MANAGEMENT PLAN OF CARE APPENDIX B Page 1 1. STUDENT PROFILE and INFORMATIONSchool Year CompletedYYYY to YYYYBirth DateYYYYMMDDAgeGrade000000000Student NameEnter Student NameCurrent SchoolEnter School NameTeacher(s)Enter Teacher NameParent/GuardianPlease include Parent(s)/Guardian(s) First and Last NamesHome AddressEnter Street Address, Municipality, Postal CodePreferred PhoneDiabetes TypeTypeSpecifyCurrent
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How to fill out appendix b student diabetes

01
Obtain a copy of Appendix B for student diabetes from your school or healthcare provider.
02
Read through the entire document to understand the required information.
03
Fill out the student's name, date of birth, and school information at the top of the form.
04
Provide the student's medical history related to diabetes, including type of diabetes and treatment plan.
05
List any allergies or additional medical conditions the student may have.
06
Include the names and contact information for the student’s healthcare providers.
07
Fill in emergency contact information for parents or guardians.
08
Review the completed form for accuracy and completeness.
09
Submit the form to the appropriate school official or healthcare provider.

Who needs appendix b student diabetes?

01
Students diagnosed with diabetes who require accommodations at school.
02
Parents or guardians of students with diabetes who need to inform the school.
03
School administrators and staff involved in managing student health and safety.
04
Healthcare providers who need to communicate specific care plans to the school.
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Appendix B Student Diabetes is a document or form that outlines the procedures, requirements, and information related to students who have diabetes, ensuring that their medical needs are met within educational settings.
Individuals or educational institutions that have students diagnosed with diabetes and need to implement necessary health plans or accommodations are required to file Appendix B Student Diabetes.
To fill out Appendix B Student Diabetes, you should gather relevant medical information about the student's diabetes management, complete the required sections of the form, ensure parental or guardian consent, and submit it to the appropriate school officials.
The purpose of Appendix B Student Diabetes is to provide a structured way to manage the health needs of students with diabetes, ensuring they receive appropriate care and support while at school.
The information that must be reported on Appendix B Student Diabetes typically includes the student's medical history, diabetes management plan, emergency contacts, medication details, and any specific accommodations required for the student.
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