Foot Care Questionnaire
	Foot Risk Assessment Form (colour, black and white)
	Risk Stratification Form

	Referral Algorithm
	Patient Risk Information Sheets (Low, Moderate, High)
	Patient Foot Care Path

DCPNS Foot Risk Assessment Form Guide

DCPNS Spring Workshop 2009
A sincere thank you to those of you that attended our spring workshop held at Pier 21 in April 2009.  We would also like to acknowledge and thank our workshop participants as well as our industry partners.  Without the support of all of you, we would not be able to deliver such a successful program.

A number of our guest speakers have graciously given us permission to post their presentations.  Please click on the "Program" link to access (view or download) copies of the available Thursday evening and Friday presentations.  To access the Foot Forum presentations click here.

Program

	Management
	Insulin
	Screening

Please note:  all DCPNS documentation forms below are currently under revision.  Expected release date Fall 2009.
 

	Prediabetes Initial Assessment
	Initial Assessment
	Education Checklist
	Flow Sheet
	Medication Sheet Client Self-Assessment Client Prediabetes Self-Assessment Client Initial Diabetes Self-Assessment Medication Sheet

	Pediatric Assessment Newly Diagnosed
	Pediatric Assessment Not Newly Diagnosed New Referral
	Pediatric Assessment Follow-Up
	Pediatric Education Checklist
	Pediatric Flow Sheet

	Pregnancy Initial Assessment
	Pregnancy Education Checklist

	Physician Referral Form
	Meal Plan Sheet
	Continuous Subcutaneous Insulin Infusion (CSII) Education Checklist
	Re-Referral Form