New Course and Leader Paperwork 2013

Please find below the links for CDSME course paperwork, as well as new CDSME Leader and Master Trainer paperwork.  If you have any questions about the paperwork, please contact your Regional Arthritis Center (RAC) Coordinator.

This paperwork will go into effect immediately following a training session with your RAC.  All leaders and Master Trainers will be transitioned to this new paperwork no later than October 31, 2013.  If you are looking for a sheet outlining what forms are needed for the various interventions, please click here.


Leader paperwork for each workshop/course:

CDSME Workshop Cover Sheet

CDSME Course Roster Form (DOC) (Excel) (Electronic/Fill-in)

Group Leader Script

        Participant paperwork (for every participant):

                CDSME Consent Form

                Living a Healthy Life (CDSMP) Participant Release (for CDSMP)

                Diabetes Self-Management Program (DSMP) Participant Release (for DSMP)

                Participant Information Survey Card (by Region):

                                Northwest Missouri RAC

                                Northeast Missouri RAC

                                Kansas City Area RAC

                                Central Missouri RAC

                                Eastern Missouri RAC

                                Southwest Missouri RAC

                                Southeast Missouri RAC


Master Trainer paperwork for each leader training:

Leader Training Roster (DOC) (Electronic/Fill-in)

Privacy and Security Basics – Powerpoint


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