Skip to main content

Physician & Organization Referral

The Diabetes Prevention Program (DPP) aims to prevent individuals with prediabetes, or otherwise at high risk, from developing diabetes. Those who are already diagnosed with Type 1 or Type 2 diabetes do not qualify. However, we plan to offer a Diabetes Self-Management program in the near future. 

The Fallbrook Regional Health District  Lifestyle Change program is part of the Centers for Disease Control and Prevention-led National Diabetes Prevention Program.

Download our one page program overview: 

DPP program overview.pdf

 

It's easy to refer to our Lifestyle Change program in one of two ways:

 

1. Complete the form below and print the informational flyer for your patient/client or add it to their after-visit summary.

DPP Lifestyle Flyer.pdf
There was a problem saving your submission. Please try again later.
Please wait while your submission is being saved...
Thank you, your submission has been received.

 

OR

 

2. Download our Referral Form and return by FAX or email. Second page is an informational flyer for the patient.

Lifestyle Change Physician Referral Form & patient flyer.pdf

 

FAX (760) 731-9131

Email bheyming@fallbrookhealth.org 

 

Please check referred patients' A1c levels at teh time of referral, at 6 months into the progra, and upon completion of the program at 12 months. Please also provide the patients with a copy of these results. Their lifstyle coach will monitor their progress.