|
Information for Patients
Ann Arbor Endocrinology and Diabetes Associates (AAEDA) has made the following pages available for quick download and printing so that our patients can conveniently complete and bring to the office on their first visit.
Administrative
New patients to the offices of AAEDA will need to print, complete, and sign both the New Patient Information Form, as well as the signature page of the HIPAA Compliance form. Please bring the forms with you to your first visit. Please also complete the Patient Information Form if any of your contact or insurance information has recently changed.
New Patient Information Form (downloadable PDF)
Patient Information Form (downloadable PDF)
HIPAA Compliance Form (signature page only)
Insurance/Referral and "No Show" Policy (our financial policy)
Email Consent Form (downloadable PDF)
Pharmacy of Choice Form (downloadable PDF)
AAEDA now accepts Visa, Mastercard and Discover as payment at time of service.
Our office has a policy that all patients leaving routine messages are called back within 24 to 48 hours. If for some reason you do not receive a callback within two days, please call again as we may not have received your message clearly.
Clinical
Preparing and Injecting Insulin Dose
Low Blood Sugar
Blood Glucose Monitoring Flow Sheet
Diabetes Management Flow Sheet
Diet Worksheet
Insulin Rotation Record
Diabetic NPO Instructions
Low Iodine Diet Guidelines
Traveling with Diabetes Supplies
Disposal Tips for Home Health Care
|