Thank you to our FFL Sponsors
 

  Back to Friends for Life 2010 Conference 2010 Friends for Life Retinal Screening Request

Online Retinal Screening Signup is now closed. Please check at registration to sign up.

Once again, free retinal screening is offered at Friends for Life. Screening is only for people with type 1 diabetes. Please submit a separate Retinal Screening Request for each family member to be screened.

Name
Parent
(If under 18)
E-mail address (parent's email if person is under 18)
Cell Phone (In case we need to contact you at the conference; parent's if person is under 18)
Age group
Adults Teens Youth
Adult (18+) tubing pump
Adult (18+) patch pump
Adult (18+) MDI
 Teen (13-18) tubing pump
Teen (13-18) patch pump
Teen (13-18) MDI
 Youth (12 or under) tubing pump
Youth (12 or under) patch pump
Youth (12 or under) MDI
 

For each member of your family, please select three times for retinal screening, in order of preference. We will notify you of your time within three days.

Choice #1:
     
Choice #2:
     
Choice #3:
     
  IMPORTANT: You must be registered for the conference before your retinal screening request will be considered. If you have not registered, use the registration link below to do so before you submit any focus group requests.

  Friends for Life 2010 Conference and Expo  
  Introduction - Program Overview - Exhibitors - Sponsors  
  Faculty - Youth Faculty - Grandparents Faculty - CWD Staff  
  Schedule: Parents & Adults - Youth - Focus Groups - Focus Groups Signup  
  Registration - FAQs  
  FFL Reports from 2009 - 2008 - 2007 - 2006 - 2005 - 2004 - 2003 - 2002 - 2001  



                 
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Last Updated: Monday June 28, 2010 11:28:58
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