Fax:330 2025

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The document is a communication from the Center for Diabetes & Endocrinology at Akron Children's Hospital, addressing parents about the necessity of establishing a Diabetes Medical Management Plan for their child before the 2020-2021 school year. It outlines the required forms, deadlines, and procedures for submitting these documents to ensure proper diabetes care at school. The document also includes details on managing diabetes with Continuous Glucose Monitors (CGM) and emphasizes the importance of collaboration between parents, healthcare providers, and schools.

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Click ‘Get Form’ to open Fax:330 in the editor.
Begin by entering the patient information at the top of the form. Ensure that you fill in the patient's name, date of birth, and address accurately.
Next, specify the release information by filling out the details of the person or organization receiving the records. Include their name, address, and contact information.
Indicate the purpose of the release by checking all applicable boxes. This could include options like insurance, school, or personal use.
In the 'Information to Release' section, select which documents you want to be included. Make sure to check all relevant items for a comprehensive release.
Finally, sign and date the authorization at the bottom of the form. Ensure that a witness also signs if required.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (50 Votes)
2020	4.4 Satisfied (275 Votes)
2019	4.3 Satisfied (129 Votes)

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Fax:330 2025

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