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Get MD Form MSDE 2004-2024

Iabetes management or health care provider. I authorize the school nurse to communicate with the health care provider as necessary. Parent/Guardian Signature _____________________________________________________Date ____________________ *Sign both sides. _______________________________________________________________ Order reviewed and signed by School Nurse (per local policy): Page 1 of 3 Date _________________________ Date: MSDE6/04 Maryland State Management of Diabetes at School/Order.

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  • subcutaneously
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  • carbohydrate
  • Ketones
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