Pump Basics

This class is for individuals considering or preparing to transition to an insulin pump. Completion of this course must be followed by a physician review and prescription to begin the Pre-Pump Class.

Please join us virtually to learn about the basics of pump therapy and if pump therapy is right for you and your family.

If you are a CHOC Patient you MUST complete the Post Pump Basics Class Questionnaire. Upon completing the video your CHOC Diabetes Team will be contact you. They will confirm you attended the class and are interested in moving forward! I

You can find the link to this questionnaire below the video. Please feel free to email Info@padrefoundation.org or text/call 714-714-1906 if you have any questions.

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Zip Code

Date

YYYY

T1d Name

First Name

Last Name

T1d Birthdate

T1d Diagnosis Date (Mo/Yr)

Where do you receive care?

CHOC

Kaiser

Other

Pump Basics

PADRE Foundation

Office: (714) 509-8330 Cell Phone: (714)714-1906 or (657)584-7663