Provider Forms Pre-Appointment Assessment Form
Our Self-Management Program is recognized by the American Diabetes Association; an organization that sets the gold standard for excellent diabetes care through education, experience and credentialing. The focus of the program is based on your individual needs and personal goals and may include one or all of the following:
- Healthy eating
- Being active
- Glucose monitoring
- Medications
- Problem solving
- Risk reduction
- Healthy coping
- On-going support
Gestational Diabetes Training
- Designed to provide training for the newly diagnosed patient on basic management of gestational diabetes and on her individual treatment plan
- Number and frequency of visits is individualized and determined at time of initial assessment
Translation services are available for any language. Printed materials are also available for a variety of different languages.
A physician's referral is required. Please ask your physician to fax an order for Diabetes Education to (281) 725-5660. Diabetes Self-Management Education is covered by most insurance companies.
What to Bring to Your Appointment
- Your questions and concerns
- If you are already checking your blood sugars, please bring your blood sugar meter and logbook
- Your most recent lab work, if available
- Your medication list (if applicable)
- You are welcome to bring a friend or family member for support
Directions
The Diabetes Center is located inside Memorial Hermann Sugar Land Hospital at 17500 Grand Parkway South, Sugar Land, TX 77479. Free parking is available. As you enter the sliding glass doors, you will be greeted by our employees at the Information Desk to begin your registration process.
To schedule an appointment, please call: (281) 725-5050 Fax: (281) 725-5660
Virtual Support Group
Virtual support groups are available every other month via Zoom from 6 p.m. - 8 p.m, click here to for dates and registration information.
Please download this form to attend the virtual group and email completed form to DiabetesEducators@memorialhermann.org.