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How it works

• Sign up via our online form.
• We’ll call you to answer any questions about the DHN, and, if you’re ready to proceed, to schedule an installation appointment with the Diabetes Health Network.
• Your Diabetes Health Network package will arrive a few days before the appointment date, and the technician will install it in your reception area at no cost.
• Every month you’ll receive the latest programming from the Diabetes Health Network. Return a simple form to us and watch your patients smile!

1. Name(required)
2. Title
3. Practice/Hospital Name(required)
4. How did you learn about us Please Select Internet Search Mailed Postcard Office Fax Friend Referral Press Article Magazine Ad Conference Other (required)
5. State
6. Phone Number(required)
7. Email
8. Type of Clinic Please Select Private practice, Single Specialty Private Practice, Multi-Specialty Hospital Based
9. Best time to call Please Select Mornings Afternoons Evenings

 

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