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Diabetes and Nutrition Services Diabetes Counseling Confirmation: West Chester Patient Name:___________________________________ Visit Date:_______________ Time:_________ To prepare for your first visit with one of our D
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Document Date: 2013-09-30 11:53:43

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File Size: 268,67 KB

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Facility

North Hills Medical Building / /

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IndustryTerm

insurance card / insurance / food / /

MedicalCondition

medication allergies / G0109‐Diabetes / last pneumonia / low vision / G0108‐Diabetes / hypoglycemia / Diabetes / last flu / No Comments High blood pressure High cholesterol/triglycerides Heart disease / /

MedicalTreatment

counseling / surgery / Medical Nutrition Therapy / /

Organization

Graduate School / Elementary High School / /

Person

Chester Patient / /

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Position

psychologist / counselor / /

SocialTag