* 1. To register for the Healthy Diabetes Plate, please complete the following form. Information collected will be used for class purposes only and will not be shared. Thank you very much for your interest in the Healthy Diabetes Plate! If you have any questions or concerns, please contact Traci Lambson at tlambson@siph.idaho.gov.

* 2. If you have any additional questions, comments, or concerns, please input them below.