Self-Referral Form

On-line self-referral to community diabetes education programs for adults (18 +) living with pre-diabetes and type 2 diabetes in Ottawa and Kemptville.

Have you ever been told you have “high sugar”, diabetes or prediabetes? Fill out this form to book an appointment with a Diabetes Educator (Nurse or Dietitian) to learn how to live a healthy lifestyle!

Please be advised, your referral will be reviewed by a diabetes educator but due to the COVID virus if the educator assesses that services are not urgent, services may be delayed.