Consent Documents for this Study

Please refer to the following PDF documents that fully explain our research study. If you would like to register to participate, please click here for a prequalification question.

NOTE: You will need Adobe® Reader® to view the PDF documents below, which can be downloaded free here.

If you are a patient who is currently 18 years of age or older, then please see our:

main consent form [PDF]
consent for participation in the threaded discussion group [PDF]
medical record release forms [PDF]

If you are the parent or legal guardian of a patient who is currently 6 years old or younger, then please see our:

main consent form [PDF] (that would be signed by you on your child's behalf)
consent for participation in the threaded discussion group [PDF]
medical record release forms [PDF]

If you are the parent or legal guardian of a patient who is currently 12-17 years old, then please see our:

main consent form [PDF] (that would be signed by you and your child)
consent for participation in the threaded discussion group [PDF]
medical record release forms [PDF]

If you are the parent of a patient who is currently 7-11 years of age, then please see our:

assent form [PDF] (that would be signed by your child)
main consent form [PDF] (that would be signed by you on your child's behalf)
consent form for participation in the threaded discussion group [PDF]
medical record release forms [PDF]

For Physicians/Diabetes Providers:

Please review all consent documents above so you may understand the study for discussion with your patients (you would not sign any of these or consent the patients yourself for participation), and please also review the consent form for your participation in the threaded discussion group [PDF], if desired.