Affidavit Report
Thank you for partnering with the Diabetes Health Network! Together, we are educating millions of diabetics to live a healthier life.
In accordance with our installation agreement and in order to continue offering the DHN at no cost, please submit the below form. Our database will continue to request this information from your office through email or fax until it is received. If you have already sent in your affidavit and received this message in error, please disregard it and we apologize for the inconvenience. If it persists, please call us as we may not have successfully received the affidavit you submitted.
