DAD
DOCTORS AGAINST DIABETES
REGISTRATION FORM
Name of the Physicians :
Your specialization :
Address :
Phone: Mobile :
Email :
Institution :
Are you interested in joining
DAD Doctors Against Diabetes : Yes No
Number of diabetic patients you see/day or month:
The nearest tertiary care center where all the :
complications of diabetes can be dealth with
Signature :
Date :
Source:joslin.org
