Diabetes Medication Refill & CGM Monitoring Form

Managing diabetes medication refills shouldn't feel like a chore—especially when continuous glucose monitoring (CGM) data can give your endocrinology team the insights they need to adjust dosing in real time. This Diabetes Medication Refill & CGM Monitoring Form brings everything together in one place: prescription refill requests, recent glucose readings, lifestyle context, and remote monitoring check-ins.

Built specifically for endocrinology practices, diabetes clinics, and telehealth providers, this form replaces scattered phone calls, faxes, and patient portals with a single, streamlined experience. Patients can request refills, upload CGM screenshots or reports, share recent A1C results, and flag any concerns—all while your clinical team gets the structured data they need to make informed dosing decisions.

Paperform's conditional logic ensures patients only see questions relevant to their medication type (insulin, GLP-1 agonists, metformin, SGLT2 inhibitors, etc.), while file upload fields make it easy to attach CGM exports, lab results, or pharmacy information. Use calculation fields to capture average glucose levels or time-in-range percentages, and route urgent requests to the right provider based on patient responses.

Once submitted, connect this form to your EHR, patient portal, or pharmacy management system using Stepper—our AI-native workflow builder. Automatically create tasks for dosing reviews, send follow-up emails with adjusted prescriptions, notify pharmacies, and log everything back into your clinical systems. You can even trigger alerts when a patient's glucose trends suggest the need for an immediate clinical review.

For practices offering remote diabetes management or continuous care programs, this form becomes the backbone of proactive patient engagement. Pair it with Papersign to capture electronic consent for dosing changes or new treatment plans, keeping your audit trail clean and compliant.

Whether you're managing a high-volume endocrinology practice or launching a virtual diabetes care program, Paperform gives you the tools to deliver faster, safer, and more personalized medication management—without adding admin burden to your team.