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Insulin Treated Diabetis Assessment Form

Use the following link to download the Insulin-Treated Diabetes Millitus Assessment Form. This is a four page form requried for insulin treated diabetics only. The forms have to be filled and signed by your treating physician prior to your DOT medical exam. If you control your diabetis without insulin, you do not need this form. All diabetics do need to bring in their most recent laboratory findings for HgB A1C.