GET
COLLABORATION
STARTED
FOR GOOD
DSME REFERRAL
These regional and national organizations are combining forces to support the Diabetes Alliance Network by providing health and wellness services that help individuals stay healthy and live well with diabetes.
PATIENTS: Have your doctor or physician fill out this referral form prior to contacting DAN for session dates and locations
NATIONAL AFFILIATES
PHYSICIANS: This referral enables your patient to receive 10 hours of Diabetes Self Management Education that meet the National Standards for Diabetes Self-Management Education and receive Support from the American Diabetes Association.
SOUTH FLORIDA
CONTACT US PATIENT
DATE
*The American Diabetes Association Recognizes this education service as meeting the National Standards for Diabetes Self-Management Education and Support.
REGIONAL AFFILIATES REFERRING PHYSICIAN
CLINIC OR PRACTICE NAME
PHYSICIAN SIGNATURE WHEN COMPLETE, CONTACT US FOR CLASS DATES & LOCATIONS
888-CALL-DAN
Professionals Aligning Services to Offer an Improved System of Care
Learn more about DAN, our programs, partners and upcoming class dates and locations.
888-CALL-DAN FINDMyDan.com
health care network of southwest florida
888-CALL-DAN FINDmydan.com