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Date: DIABETES EDUCATION INITIAL ASSESSMENT PART 1 PATIENT INFORMATION Name: Sex: Male Occupation: Home Phone: Age: Date of Birth: Last Grade of School Completed: Female Cell Phone: Work Phone: Email
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What is diabetes education initial assessment?
The diabetes education initial assessment is an evaluation process to determine the individual's current knowledge, skills, and self-management abilities related to diabetes.
Who is required to file diabetes education initial assessment?
Individuals diagnosed with diabetes are required to undergo and file the diabetes education initial assessment.
How to fill out diabetes education initial assessment?
The diabetes education initial assessment can be filled out by a healthcare provider or a certified diabetes educator in collaboration with the individual diagnosed with diabetes.
What is the purpose of diabetes education initial assessment?
The purpose of the diabetes education initial assessment is to create a personalized diabetes management plan based on the individual's needs and current diabetes-related knowledge.
What information must be reported on diabetes education initial assessment?
The diabetes education initial assessment report must include the individual's medical history, current diabetes medications, dietary habits, physical activity level, glucose monitoring practices, and any previous diabetes education received.
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