School bus diabetic waiver form 2026

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  1. Click ‘Get Form’ to open the school bus diabetic waiver form in the editor.
  2. Begin by filling out the Patient Information section. Ensure you provide accurate details such as Driver’s License Number, Height, Sex, Eye Color, Last Name, Date of Birth, Telephone Number, and Email if applicable.
  3. Proceed to Section A. Answer all questions regarding the patient's condition(s) and treatment history. This information is crucial for assessing eligibility.
  4. If applicable, complete Section B by detailing any specific cardiovascular conditions. Be sure to include test dates and results as required.
  5. In Section C, provide information about any pacemaker insertion if relevant. Confirm regular examinations are being conducted.
  6. Review Section D carefully; ensure that none of the listed conditions apply to the patient that would disqualify them from receiving a waiver.
  7. Finally, fill in the Health Care Provider Information section accurately and ensure it is signed and dated before submission.

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