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Record of Grantee Meetings



Linking to Quality Clinical Care


Referral Form (PDF)

This one-page tool can be a template referral form for diabetes self management programs. It was developed specifically by the Gateway Community Health Center in Laredo, TX diabetes self management program and information should be tailored for use by other programs.

Author site: Gateway Community Health Center I 2004

Related Links

  • For more program management & implementation materials: Click here
  • For other tools related to general program administration: Click here
  • For other tools related to linking to quality clinical care: Go back

The Diabetes Initiative was a national program of the Robert Wood Johnson Foundation from 2002 to 2009.
Archived in 2009, this site is a repository for information and resources gathered over the course of the Initiative.