First Name

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Name of Primary Hospital, Clinic or School

Do you currently receive JDRF resources to your clinic? Yes No Not Sure

I would like to order these resources for my clinic: KIDSAC pack for children and adolescents (newly diagnosed) - available for clinics only t1d kit for young adults and adults (newly and previously diagnosed) - available for clinics only New edition of the Straight to the Point book for T1D adults (newly and previously diagnosed) Information about the Peer Support Program

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State ACT NSW NT QLD SA VIC WA

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