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  1. Diabetes Medical Parent Approval Signature 6 9 Management Plan PARENTS/GUARDIANS: Please complete pages 1 and 2 of this form and approve the final plan on page 6.

  2. Learn to manage your diabetes. In creating this diabetes care and management plan you should use information that you and your diabetes care team have on file. Remember to always bring your most recent blood sugar (blood glucose) records, lab results and a list of current medications to every visit with . your diabetes care provider.

  3. Diabetes Medical Management Plan (DMMP) This plan should be completed by the student’s personal diabetes health care team, including the parents/guardians. It should be reviewed with relevant school staff and copies should be kept in a place that can be accessed easily by the school nurse, trained diabetes personnel, and other authorized ...

  4. This Diabetes Medical Management Plan has been approved by: Student Healthcare Provider Phone Date E-mail

  5. 12 Ιαν 2024 · Sample letter (PDF) Updated 1/12/24. Ensure standardized and efficient diabetes care in schools with our updated DMMP form. Tailor care instructions for individual students, providing clarity for caregivers.

  6. Your Diabetes Care Team will help you develop a diabetes management plan that works for you. Taking steps to stay on top of your blood glucose sugar levels and adjust therapy quickly is important.

  7. My signature below provides authorization for the above written orders and exchange of health information to assist the trained diabetes care aid/school nurse/school administrator in developing an individualized 504 Health Plan. Physician/Health Care Provider: _____ Date: _____

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