Diabetes Initiative Logo  

Record of Grantee Meetings


Assessment Materials, Forms & Instruments


Case Management Intake Form (PDF)

This one-page assessment tool can be used by case managers and other health professionals to guide diabetes self management treatment. It includes various self management topics such as regular monitoring of physical conditions, diet and exercise, depression and stress, and access to resources.

Author site: Minneapolis American Indian Center I 2006

Related Links

  • For other tools related to general program administration: Click here
  • For other tools related to program management and implementation: Click here
  • For other tools on multiple self management behaviors: Click here
  • For more assessment tools: Go back

The Diabetes Initiative was a national program of the Robert Wood Johnson Foundation from 2002 to 2009.
Archived in 2009, this site is a repository for information and resources gathered over the course of the Initiative.