www.kidsdiabetes.co.uk                             Not just for kids, for adults too

Custom Search
 
<< Previous    1...   3  4  [5]  6  7  ...8    Next >>

Diabetes record sheet

 

Photo

 

 

Photo

This child has diabetes
 
Name: ………………………………………


Date of birth: ……………………………….

                                                Current year/class: …………………………..

If s/he has a hypo, you will need to take the action described on the next page.

In case of medical emergency, use the contact numbers below.

If the parent(s) are not available, or you need to speak to a healthcare professional, the telephone numbers of the child’s GP and hospital clinic are also given below.

 

Contact information

Family contact 1

Name: ………………………………………………………………         

Telephone: …………………………………………………………

Relationship: ………………………………………………………

Family contact 2

Name: ………………………………………………………………

Telephone: …………………………………………………………

Relationship: ………………………………………………………

GP

Name: ………………………………………………………………

Telephone: …………………………………………………………

Hospital clinic contact

Name: ………………………………………………………………

Telephone: …………………………………………………………

 

 

 


                                               

 

 

 

 

 

 

 

 

 

<< Previous    1...   3  4  [5]  6  7  ...8    Next >>