Thank you for contributing a patient case to the Type 2 Diabetes ECHO. Please complete this form with as much detail as possible - all Type 2 Diabetes related cases are welcome. We will be in contact to discuss when you can present this case to an ECHO session and any questions you have about the session. Ensure that there are no details which could identify your patient.
Note: The Type 2 Diabetes ECHO case discussions do not create or otherwise establish a patient-clinician relationship between any ECHO panel members and the patient whose case is being presented in a Type 2 Diabetes ECHO setting.