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Flow Sheets, Forms, Signs, and Charts


Select from the links below:

Flow Sheets
Diabetes Flow Sheet Excel Sample 1.xls
Diabetes Flow Sheet Excel Sample 2.xls
Diabetes Flow Sheet Excel Sample 3.XLS
Diabetes Flow Sheet Sample 1.doc
Diabetes Flow Sheet Sample 2.doc
Diabetes Flow Sheet Sample 3.doc

Forms
Diabetes Eye Exam Referral.doc
Diabetes Health Record.doc
Diabetes Referral Fax Back.doc
DM Chart Prescreen.doc
Foot Exam Flow Sheet.pdf
Outpatient Rapid Assessment.pdf
Sample Consult Form Med Econ.pdf
Welcome to your diabetic visit Depression Screen.doc
Diabetes-Foot-check.pdf
Diabetes-Foot-Exam-Card.pdf
LEAP-FootTest-Level1-by Nurse.pdf
LEAP-FootTest-Monofilament-Instructions.pdf
MA-Monofilament-Screening-Tool.doc
Foot-Labels.doc
IDC Foot Exam Instructions 
IDC Foot Exam Form 
Patient Assessment Survey

Signs
ABCs of Diabetes for Patients.pdf
Diabetes Stoplight.pdf
ItsMoreThanFood_ItsYourLife.pdf
Shoes Socks Off Sign.doc

Other
Patient birthday card visit reminder.tif
Patient Chart Cover Sheet.xls