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Indiana State Department of Health

Chronic Disease > Diabetes Prevention & Control Program > Resources > Professional Resources Professional Resources

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  • Application for Insulin and Township Claim - A form for Indiana residents who are in need of insulin and who are financially unable to purchase it.  To be completed by the physician and local county health officer. - Document
  • Confidential Report of Blindness or Visual Impairment State Form - Effective January 1, 1992, the Indiana State Department of Health has been mandated by the legislature to maintain a registry of blind/visually impaired individuals in the state of Indiana. The purpose of the registry is to maintain a list of blind/visually impaired individuals so that these individuals can be made aware of and be put in touch with the various services that are available. - Document

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