The Diabetic Flow sheet should be available in the clinic. If you cannot locate one, please notify your preceptor or the staff at the front desk. Fill out all areas of the form. Do not forget the final question. If it is left unaswered, the form will be returned to you for completion. If you discuss this form with a preceptor during check-out, please ask them to sign it. Do not include the patient's medical record number on the form.



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updated 6/13/05 - dlp