Endocrinologists' offices may have their own Diabetic Medical Management Plan (DMMP) template that they use. If your office does not, please use this form below for the physician to complete.  All DMMPs should be detailed and tailored specifically to your child’s specific needs.

You do not need to complete a Medical Consent Form as the medications required are contained in this plan.  A Consent form for Self-Administration is required for a student to self-possess/administer. 

PDF DocumentDiabetic Medical Management Plan