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Download toolkit and writeable forms: Assurance of Diabetes Care Coordination Toolkit

These toolkits were developed by the Medical Advisory Council (MAC) of the Forum of ESRD Networks. They are available for free download as of August 6, 2009. Please share your comments and/or feedback on the toolkits by clicking the 'Add Comment' button on each toolkit download page. The MAC intends to update these toolkits based on comments from users and would like to have as many comments as possible. If you would like to share your own forms, please include this information in the Comments section as well. Credit will be ascribed to all who submit forms for public use.

 Title   Type 
File Assurance of Diabetes Care Coordination Toolkit File
File PDSA Worksheet File
File QAPI Action Plan: Designation of DM Care Provider File
File QAPI Action Plan (blank) File
File Diabetes Care Coordination Barriers Questionnaire File
File Sample Physician Referral Letter - CAPD Patient File
File Sample Physician Referral Letter - CCPD Patient File
File Sample Physician Referral Letter to Endocrinologist File
File Sample Physician Referral Letter to Podiatrist File
File Sample Letter for Peritoneal Dialysis Patients who use Icodextrin File
File Diabetes Patient Passport Example #1: Diabetes Card (single page) File
File Diabetes Patient Passport Example #2: Diabetes Passport File
File Diabetes Patient Passport Example #3: Diabetes Passport (booklet format) File
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