For doctors and referring clinicians

Refer a patient for structured
diabetes education support.

Sister Jodi supports patients who need practical diabetes education between medical appointments: new diagnosis support, type 1 and type 2 education, insulin injection technique, diabetes technology and CGM, foot-care prevention, pregnancy-related diabetes, and family education.

Complete Referral Form View Education Scope
REF
Education that supports the treating plan.

The referral helps focus the education session around the patient’s clinical context and current practical barriers.

Refer for
✓New diagnosis education
✓Insulin and injection support
✓CGM and glucose data education
✓Foot-care prevention and family support
Clear scope matters.

Diabetes education does not replace diagnosis, prescribing, treatment changes, specialist review, or urgent care.

Referral reason Tell us what education should prioritise
Patient context Medication, readings, results and concerns
Education session Practical support around daily diabetes care
Feedback Where appropriate, consented and clinically useful
Who can refer

Referral is suitable when a patient needs more time, structure, and practical diabetes education.

This page is for clinicians and healthcare professionals who want to support patients with education, confidence, safer routines, better preparation, and clearer questions for medical follow-up.

GP

GPs and primary care

Useful for newly diagnosed patients, type 2 diabetes education, treatment understanding, monitoring routines, and preparation for follow-up.

SP

Specialists and physicians

Useful for insulin starts, complex routines, CGM data education, hypoglycaemia concerns, technology overwhelm, and practical skills review.

AH

Allied health professionals

Useful for dieticians, podiatrists, orthopaedic teams, wound-care teams, and practices supporting diabetes-related risk.

Education scope

What patients can be referred for.

The referral should identify the patient’s practical education need. The session then focuses on understanding, confidence, preparation, self-management support, and knowing when to return to the medical team.

01

New diagnosis

First-step education for patients who feel overwhelmed, confused, or unsure what diabetes means for daily life.

02

Type 1 and type 2 education

Practical education around glucose monitoring, routines, safety, questions, and treatment understanding.

03

Insulin education

Support with insulin confidence, injection technique principles, site rotation awareness, storage, timing, and safety questions.

04

Diabetes technology and CGM

Education around CGM reports, trends, alarms, time in range, glucose patterns, and data overwhelm.

05

Foot-care prevention

Daily foot checks, warning signs, footwear awareness, escalation triggers, and preparation for podiatry or medical review.

06

Pregnancy and family support

Pregnancy-related diabetes education and family support that improves understanding without pressure, blame, or fear.

Referral process

How the referral pathway works.

The process is designed to keep the education focused, practical, and aligned with the treating clinician’s plan.

1 Complete the referral form Include the referral reason, clinical context, treatment information, patient concern, and education priorities.
2 The referral is reviewed The practice reviews whether the referral is appropriate for diabetes education and whether additional information is needed.
3 The patient receives focused education The session addresses the patient’s real-world barriers, routines, questions, glucose data, treatment understanding, and safety concerns.
4 Feedback may be shared where appropriate Where clinically useful, appropriate, and consented, a feedback note may be provided to the referring clinician.
Referral form

Complete the patient referral details.

Use this form to provide the clinical context and education need. The more specific the referral reason, the more focused the education session can be.

Important setup note: This form is included in the page design. To receive real submissions securely, connect these fields through WPForms, Fluent Forms, Gravity Forms, Formidable Forms, or your preferred secure form system.
Referring clinician details
Patient details
Reason for referral
Consent and safety
Urgent safety note: This referral form is not for emergencies. Severe hypoglycaemia, suspected diabetic ketoacidosis, chest pain, stroke symptoms, severe shortness of breath, serious foot wounds, spreading infection, sudden severe illness, or pregnancy red flags require urgent medical assessment.
Recommended setup: In your WordPress form plugin, redirect successful submissions to /thank-you/?type=referral.
The form design is ready, but this raw HTML form has not been connected to a secure submission system. Connect it through a WordPress form plugin before collecting referrals.
Important boundaries

Diabetes education supports clinical care. It does not replace it.

Sister Jodi’s role is education, support, preparation, and practical self-management guidance. Medical decisions remain with the treating doctor, specialist, or appropriate healthcare professional.

Scope note: Diabetes education does not replace medical diagnosis, prescribing, treatment adjustment, specialist review, dietetic care, podiatry care, surgical care, psychological care, obstetric care, or urgent medical assessment.
Do not refer routinely if urgent care is needed: Severe hypoglycaemia, suspected diabetic ketoacidosis, chest pain, stroke symptoms, severe shortness of breath, serious foot wounds, spreading infection, sudden severe illness, or pregnancy red flags require urgent medical assessment.
Clinician referral pathway

Refer a patient who needs structured diabetes education support.

Complete the referral form above or contact Sister Jodi’s practice for non-urgent referral enquiries. Patients may also book directly where appropriate.

Complete Referral Form Contact the Practice

Refer a Patient

For doctors and referring clinicians

Refer a patient for structured
diabetes education support.

Sister Jodi supports patients who need practical diabetes education between medical appointments: new diagnosis support, type 1 and type 2 education, insulin injection technique, diabetes technology and CGM, foot-care prevention, pregnancy-related diabetes, and family education.

Complete Referral Form View Education Scope
REF
Education that supports the treating plan.

The referral helps focus the education session around the patient’s clinical context and current practical barriers.

Refer for
✓New diagnosis education
✓Insulin and injection support
✓CGM and glucose data education
✓Foot-care prevention and family support
Clear scope matters.

Diabetes education does not replace diagnosis, prescribing, treatment changes, specialist review, or urgent care.

Referral reason Tell us what education should prioritise
Patient context Medication, readings, results and concerns
Education session Practical support around daily diabetes care
Feedback Where appropriate, consented and clinically useful
Who can refer

Referral is suitable when a patient needs more time, structure, and practical diabetes education.

This page is for clinicians and healthcare professionals who want to support patients with education, confidence, safer routines, better preparation, and clearer questions for medical follow-up.

GP

GPs and primary care

Useful for newly diagnosed patients, type 2 diabetes education, treatment understanding, monitoring routines, and preparation for follow-up.

SP

Specialists and physicians

Useful for insulin starts, complex routines, CGM data education, hypoglycaemia concerns, technology overwhelm, and practical skills review.

AH

Allied health professionals

Useful for dieticians, podiatrists, orthopaedic teams, wound-care teams, and practices supporting diabetes-related risk.

Education scope

What patients can be referred for.

The referral should identify the patient’s practical education need. The session then focuses on understanding, confidence, preparation, self-management support, and knowing when to return to the medical team.

01

New diagnosis

First-step education for patients who feel overwhelmed, confused, or unsure what diabetes means for daily life.

02

Type 1 and type 2 education

Practical education around glucose monitoring, routines, safety, questions, and treatment understanding.

03

Insulin education

Support with insulin confidence, injection technique principles, site rotation awareness, storage, timing, and safety questions.

04

Diabetes technology and CGM

Education around CGM reports, trends, alarms, time in range, glucose patterns, and data overwhelm.

05

Foot-care prevention

Daily foot checks, warning signs, footwear awareness, escalation triggers, and preparation for podiatry or medical review.

06

Pregnancy and family support

Pregnancy-related diabetes education and family support that improves understanding without pressure, blame, or fear.

Referral process

How the referral pathway works.

The process is designed to keep the education focused, practical, and aligned with the treating clinician’s plan.

1 Complete the referral form Include the referral reason, clinical context, treatment information, patient concern, and education priorities.
2 The referral is reviewed The practice reviews whether the referral is appropriate for diabetes education and whether additional information is needed.
3 The patient receives focused education The session addresses the patient’s real-world barriers, routines, questions, glucose data, treatment understanding, and safety concerns.
4 Feedback may be shared where appropriate Where clinically useful, appropriate, and consented, a feedback note may be provided to the referring clinician.
Referral form

Complete the patient referral details.

Use this form to provide the clinical context and education need. The more specific the referral reason, the more focused the education session can be.

Important setup note: This form is included in the page design. To receive real submissions securely, connect these fields through WPForms, Fluent Forms, Gravity Forms, Formidable Forms, or your preferred secure form system.
Referring clinician details
Patient details
Reason for referral
Consent and safety
Urgent safety note: This referral form is not for emergencies. Severe hypoglycaemia, suspected diabetic ketoacidosis, chest pain, stroke symptoms, severe shortness of breath, serious foot wounds, spreading infection, sudden severe illness, or pregnancy red flags require urgent medical assessment.
Recommended setup: In your WordPress form plugin, redirect successful submissions to /thank-you/?type=referral.
The form design is ready, but this raw HTML form has not been connected to a secure submission system. Connect it through a WordPress form plugin before collecting referrals.
Important boundaries

Diabetes education supports clinical care. It does not replace it.

Sister Jodi’s role is education, support, preparation, and practical self-management guidance. Medical decisions remain with the treating doctor, specialist, or appropriate healthcare professional.

Scope note: Diabetes education does not replace medical diagnosis, prescribing, treatment adjustment, specialist review, dietetic care, podiatry care, surgical care, psychological care, obstetric care, or urgent medical assessment.
Do not refer routinely if urgent care is needed: Severe hypoglycaemia, suspected diabetic ketoacidosis, chest pain, stroke symptoms, severe shortness of breath, serious foot wounds, spreading infection, sudden severe illness, or pregnancy red flags require urgent medical assessment.
Clinician referral pathway

Refer a patient who needs structured diabetes education support.

Complete the referral form above or contact Sister Jodi’s practice for non-urgent referral enquiries. Patients may also book directly where appropriate.

Complete Referral Form Contact the Practice

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