Diabetic Education Program Consent Form
About this free form template

Managing diabetes requires ongoing education, support, and clinical oversight. This Diabetic Education Program Consent Form streamlines enrollment for healthcare providers offering diabetes management programs, capturing patient information, medical history, treatment preferences, and informed consent in a single, HIPAA-compliant workflow.

Whether you're running a hospital-based diabetes education center, an endocrinology practice, or a community health clinic, this template helps you securely collect essential information before beginning glucose monitoring training, insulin administration education, nutritional counseling, and specialist referrals. Built with Paperform, the form includes conditional logic to tailor questions based on patient needs, ensuring every participant receives personalized care planning.

Why Healthcare Providers Trust Paperform for Patient Consent

Paperform is designed for healthcare organizations that need secure, professional forms without the complexity of traditional medical software. This template is SOC 2 Type II compliant and includes features specifically valuable for diabetes education programs:

  • Conditional logic reveals relevant questions based on diabetes type, current treatment regimen, and complication history
  • HIPAA-aligned data collection with secure submission handling and encrypted storage
  • Papersign integration (papersign.com) lets you collect legally binding electronic signatures on consent documents, keeping everything linked to the original enrollment form
  • Custom success pages that confirm enrollment and provide next steps for patients
  • Automated workflows via Stepper (stepper.io) to route new enrollments to care coordinators, schedule initial assessments, and update your EHR or patient management system

Built for Diabetes Care Teams

This template serves endocrinologists, certified diabetes educators, dietitians, nurses, and care coordinators who need to onboard patients efficiently while ensuring complete informed consent. Customize sections to match your program structure—whether you offer group classes, one-on-one counseling, or hybrid telehealth sessions—and use Paperform's doc-style editor to add your clinic branding, educational resources, and insurance information.

By centralizing consent and intake in one intelligent form, you reduce administrative burden, minimize errors, and help patients start their diabetes education journey with confidence and clarity.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.