According to the CDC, more than 88 million American adults have prediabetes. This is challenging to take in, but the facts state that, “1 in 3 US adults” have prediabetes. It could be you, your favorite brother, or your other brother who has prediabetes, and they do not know it.

This is your time to change your life, improve your health, and prevent your risk of Type 2 diabetes.

We will begin our new cohort August 2024. Your time is NOW!

Please complete our NDPP Interest Form below, to take charge of your health and prevent your risk of type 2 diabetes.
(CDC, 2021).

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* Name

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* Home Address?

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* Phone

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* Best Time to Call

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* Date of Birth:

Date

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* Gender

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* Height?

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* Weight?

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* Please select your ethnicity (Check all that apply)

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* Insurance Information. Please select your type of insurance and medical plan?

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* Medical Plan (Choose one)

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* Diabetic History. Have you previously been diagnosed with Type 1 or Type 2 diabetes?

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* Diabetic History. Have you previously been diagnosed with prediabetes?

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* Diabetic History. Is your A1c between 5.7% and 6.4%?

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* Prediabetes Risk Test Score (1-5)

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* What time of day works best for you?

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* Have you participated in NDPP before?

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* How did you hear about this program?

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* Media Release: The Riverside Community Health Foundation (RCHF) have my permission to use my photograph/video publicly to promote NDPP. I understand that the images/audio may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

( Privacy & Cookie Notice

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