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De Homeroom Teacher Instructions: 1. Part 1- Contact Information and Diabetes Medical History . To be completed by parent/guardian and returned to school nurse (prior to beginning of each school year or upon diagnosis). Includes: Parent authorization for trained school designees to administer and/or glucagon (required by Virginia Law). 2. Part 2*- Diabetes Medical Management Plan (DMMP) . Student s physician/provider to complete Intensive Th.

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