We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Diabetes Prevention And Control Program - Nyc.gov - Nyc

Get Diabetes Prevention And Control Program - Nyc.gov - Nyc

Er 42-09 28th Street, 12th Floor, CN-52 Queens, NY 11101-4132 If you do not want to be contacted, either by letter or by phone, regarding your A1C information and if you do not want your provider(s) to receive your A1C information from the NYC Department of Health and Mental Hygiene, please fill out this form. By submitting this form, you are requesting that (1) you are not contacted about your A1C information and (2) that your provider(s) not get your A1C information through the Department s.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Diabetes Prevention And Control Program - NYC.gov - Nyc online

This guide provides clear and supportive instructions on how to complete the Diabetes Prevention And Control Program form online. By following this step-by-step approach, users can ensure that their requests are properly submitted without confusion.

Follow the steps to accurately complete and submit your request.

  1. Press the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. Fill in your first name, middle name (or initial), and last name in the designated fields to identify yourself clearly.
  3. Enter your date of birth in the format mm/dd/yyyy to provide necessary personal identification.
  4. Complete your street address and apartment number (if applicable) to ensure accurate processing of your request.
  5. Indicate your city, state, and zip code in the respective fields to confirm your location.
  6. If desired, provide your phone number in the optional field for potential follow-up communications.
  7. Sign the form to confirm your request and ensure that it is considered valid.
  8. If you are submitting this form on behalf of another individual, include your name, state your relationship, and sign the form as well.
  9. Once all required fields are completed, you can save any changes you made, download and print the form for your records, or share it as necessary.

Take the first step towards ensuring your privacy by completing the form online today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

National Diabetes Prevention Program
The NDPP can delay or reduce the risk of developing type 2 diabetes by as much as 58%...
Learn more
New York City Summary Program Description (SPD)
... Program Form and the Health Benefits. Application ... conditions like diabetes...
Learn more
New York State Nurse Aide Manual
home, your employer must complete Section 2 of the application form. • Provide your NYS...
Learn more

Related links form

Ifamm Ap Statistics Test B Gathering Data Part Iii Answer Key Title V Operating Permit. Tesoro Kenai Refinery - Dec Alaska ORDER RE: DISCOVERY, - Cacd Uscourts

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

The National Diabetes Prevention Program (National DPP) lifestyle change programs are proven to prevent or delay the onset of type 2 diabetes in adults that are at high risk.

The Centers for Disease Control and Prevention (CDC) offers funding for diabetes prevention and management programs through the National Center for Chronic Disease Prevention and Health Promotion, including the Division of Diabetes Translation.

CDC's National Diabetes Prevention Program – The CDC's National Diabetes Prevention Program uses key components of the DPP—lifestyle changes such as physical activity and weight loss—to prevent or delay the start of type 2 diabetes.

CDC-recognized lifestyle change programs run for 1 year. In the first 6 months, your patients will meet weekly for 1 hour to learn to: Eat healty without giving up all the foods they love. Add physical activity into their busy schedules.

The NDPP can delay or reduce the risk of developing type 2 diabetes by as much as 58% through lifestyle changes resulting in modest weight loss of 5%-7%. NDPP classes are currently occurring in several agencies across the city, including DOHMH, DOE, FDNY, ACS, NYCHA, and DOT!

Launched in 1987, the National Diabetes Control Program was the first pilot scheme devised and established by the Indian federal government to control and reduce the prevalence of diabetes.

Research has consistently shown that for some people, combined lifestyle interventions - including diet, physical activity and sustained weight loss - can be effective in reducing the risk of type 2 diabetes by about 50%.

Program Goals Goals of the program include: At least 5% weight loss. At least150 minutes/week of physical activity. HbA1c reduction of 0.2% or greater.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Diabetes Prevention And Control Program - NYC.gov - Nyc
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232