Sunday
5th September
2010
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How to Join
How to Join

To join the Diabetes Education Network, please fill out this form. This will send your request to Helen Loughnane. Alternately, you can email the details yourself to Helen: helen.loughnane@elht.nhs.uk

Name
Title
   
Work Address Line 1
Work Address Line 2
Work Address Line 3
Work Address Line 4
Town / City
County
Postcode
   
Contact Number
Email Address
   
Job Title
   
Does your centre currently provide structured education for patients with:
Type 1 Diabetes  
Type 2 Diabetes  
Any Special Interests? (eg Paediatrics)
   
Please type the two words below, seperated by a space, in the box provided. This is a security measure to distinguish between humans and computers
   
 

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© Dave Stockdale & The Diabetes Education Network 2010