Request edit access
Special Diabetes Program for Indians: Provider Success Story
The National Indian Health Board and its partners throughout Indian Country are working on collecting stories from SDPI programs to share with Members of Congress on how the program has been so successful. Please visit
for more information.
Please share your story as it relates to Type I or Type II diabetes, related chronic disease, and the Special Diabetes Program for Indians.
The National Indian Health Board appreciates your cooperation and consent in allowing us to publish a story, quotes, and/or narrative, graphic, and photographic content related to your programs and activities and/or its likeness for use in the National Indian Health Board’s various mediums. You have our assurance that this content will be used only for official purposes and with the respect and consideration to which you are entitled. You waive any claims you may have against NIHB or its officers, employees, agents, and affiliates relating to its use of the content provided. You also waive any right to review the content or any advertising or promotional copy that may be used in connection with the content. By providing the information above and checking this box, you agree that you have read, fully understand, and intend to be legally bound by the terms of this agreement.
Yes, I agree to the terms and conditions above.
If you have any questions or would like to submit photos to accompany your story, please contact Sarah Price at
or -507-4078. Thank you for your participation!
Please provide any additional comments here:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service