Steps to Access Diabetes Self-Management Education

STEP 1:

• Print the blank prescription
• Fill out the following (in printed handwriting please):
• Name
• Check the box if you Do Not Speak English or have other Special Needs
• Check Male or Female
• Date of Birth
• Insurance Carrier (If you do not have insurance, please call 325-670-4160 for financial assistance, or if you have questions concerning your insurance, please call 325-670-2498 for the insurance verifier.)
• Physician

STEP 2:

• Take the prescription form to your physician. He/she will fill out the rest of the requirements, sign and fax it to our Centralized Scheduling Department (325-670-4276).

Once Centralized Scheduling receives the completed prescription from your physician, then they will contact you to schedule your class day.