Patient Forms and Resources

ONLINE TOOLS

Appointments

Refill Requests

 

RESOURCES

HIPAA Information

Conditions A-Z

 

Diabetes Resources:

Diabetes Educator

American Diabetes Association

Juvenile Diabetes

Eat Right

National Institute of Diabetes and Digestive and Kidney Diseases

National Diabetes Education Program

Patient Forms

New Patient - Child Medical Form

New Patient - Adult Medical Form

New Patient - Registration Form

Medical Records Release Form

Sports Physical

DOT Physical Form

 

Diabetes Subscriptions:

Diabetes Forecast

Diabetes Health

Diabetes Wellness News

Patient Education

Asthma Action Plan

High Blood Pressure Action Plan

Recipes for Healthier Living

Hemoglobin A1C Action Plan

 

Apps for tracking your personal diabetes health:

Glucose Buddy

MySugr Diabetes Logbook

AccuCheck Diabetes Connect

One Drop

Diabetes and Blood Glucose Tracker (Apple devices)

Diabetes and Diet Tracker (Android devices)

Health2Sync

Quit Smoking

Quit Smoking for Good

Freedom from Smoking

Patient Assistance Programs:

RxAssist

To locate a Community Health Center, call 1-888-275-4772

To locate free clinics in NC

 

Nutrition Support:

Weight Watchers

Tops Club Inc

Overeaters Anonymous

Recipes for Healthier Living 

Dental Assistance Programs:

NC Dental

Dental Lifeline

 

Apps for tracking Nutrition:

Fooducate

MyFitnessPal

CalorieKing

GoMeals

SparkPeople

 

Local Community Resources:

Burke County Health Department

Community Resource Guide

Directory of Services for Special Needs Children

Blue Ridge Health

Burke Recovery

Burke Literacy

 

Questions? Contact Us!

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