2011-2012 School Plans

Patients are required to have an annual diabetes care plan on file at their school. A copy also needs to be on file in the Diabetes Clinic.

School plan instruction sheet (PDF)
School plan (PDF)
School plan dosing guideline sheet (PDF)
School plan - (Word document) *this is a fill-in form. Please click on am area to fill in, save it to your computer and then email it as an attachment to the diabetesclinic@chw.org

If you have questions or problems completing your school plan, call the clinic where you receive care:

Diabetes Clinic: (414) 266-3380
Children's Hospital of Wisconsin (Milwaukee)

Diabetes Clinic: (920) 969-5390
Children's Hospital of Wisconsin's Fox Valley Clinic (Neenah, Wis.)