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Know Your A1c
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Vigilant Home
About
Your Care Plan
Your Care Team
Resources
Signs and Symptoms
Diabetes Facts
Know Your A1c
FAQ
Patient Forms
Locations
Contact
DIABETES
Patient Forms
New Patient
Medical History
4 pages
> DOWNLOAD
Patient Consent
Authorization for Treatment
3 pages
> DOWNLOAD
Privacy Practices and
Patient Bill of Rights
4 pages
> DOWNLOAD
Diabetes Care Blood Glucose Log
1 page
> DOWNLOAD
Early detection and treatment of diabetes can decrease the risk of developing the complications of diabetes.
LEARN MORE
about how knowing your A1c can help you understand and control your diabetes.
REQUEST APPOINTMENT
Contact us to schedule a diabetes screening and start your journey to improved health.
Request Appointment
Use this form or call
1.800.639.2621
NEW PATIENT FORMS
New Patient Health History (download)
Patient Consent Authorization for Treatment (download)
Privacy Practices and Patient Bill of Rights (download)
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