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Click ‘Get Form’ to open the diab1 printable form in the editor.
Begin with Part A: About You. Fill in your title, full name, address, postcode, date of birth, NHS number, driver number (if known), and contact numbers. Use BLOCK CAPITAL letters and BLACK INK for clarity.
Proceed to Part B: Healthcare Professional Details. Provide the full name and address of your GP or consultant. Ensure all details are accurate to avoid delays.
In the Diabetes Medical Questionnaire section, answer questions regarding your diabetes treatment and monitoring practices. Be honest about any episodes of low blood sugar.
Complete the special controls section if applicable, indicating any modifications needed for driving due to your medical condition.
Finally, review the consent section carefully before signing. Confirm that all information is correct and submit your completed form as instructed.
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