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Pre-Visit Checklist

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Pre-Visit Checklist

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At AdvantageCare Physicians (ACPNY), we know that managing your diabetes can come with challenges—that’s why we’ve created this helpful pre-visit checklist. Bring this information to your appointment to give us the most accurate and up-to-date picture of your health, which will ultimately help us create the right care plan for you.

  1. Finger Stick Checks: Documentation of all recent blood glucose results
  2. Barriers: Any barriers to checking at home
  3. Medications: Complete list of your medications and needed refills
  4. Allergies and Side Effects: List of allergies and any side effects you’ve experienced from taking medications
  5. Eye Exam Results: Results from your latest exam (if outside of ACPNY)
  6. Eye Referral: Referral for an eye exam (if applicable)
  7. Other Referrals: Referral to see an Endocrinologist, Nutritionist, or Podiatrist (if applicable)
  8. Past Medical Visits: Your last visit to an Endocrinologist, Nutritionist, or Podiatrist (if outside of ACPNY)
  9. Blood Work Results: Your latest blood work results (if outside of ACPNY)
  10. Diet and Exercise Info: Information about your current diet and exercise regimen

If you haven’t already, we encourage you to schedule a diabetes check-up with your primary care provider today.

 

 

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