While the Diabetes Coalition engages in various assessments, prevention, and community educational outreach events throughout the year, the majority of these activities occur during our Know Your Numbers Diabetes
Prevention Screening Campaign, which “kicks-off” at the beginning of National Diabetes Month each November and continues through January.
Yes, we would like to participate in the Know Your Numbers Diabetes Prevention Screening Campaign, by providing a Screening Site Venue for free Diabetes Risk Assessments and other Health Biomarker Screenings.
Please note: The Diabetes Risk Assessment is now being completed electronically via a tablet or computer. There are no paper forms. All Diabetes Risk Assessments are to be completed by the screener and not the participant.
Screening Site Participation Forms must be received by October 23, 2019 for events beginning in November. We will contact the person listed as the screening coordinator to discuss the screening event and to finalize arrangements for electronic completion of the risk assessments.
All fields on the form must be completed.
Due to limited funding, the Diabetes Coalition will only be able to provide free A1C testing kits and supplies to non-clinic sites. If providing A1c tests, these tests should be offered to all screening participants.
Remember, if you are doing multiple site locations, please complete a separate form for each site.
Diabetes Risk Assessment Forms will now be completed via tablet or computer – There are no paper forms.
If you are doing multiple days, please provide total number for all of the days. Please note: The Diabetes Screening Result Cards will still be provided to sites. The completed cards are to be given to all screening participants.