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South Dakota Department of Health
South Dakota Department of Health

Lifestyle Coach Application

Online Delivery Platform for National Diabetes Prevention Program (NDPP) or Chronic Disease Prevention & Health Management Programs

healthylifestyle.sd.gov    Download Paper Form

Applicant Information

(If multiple coaches are applying with the same organization, each coach will need to complete a separate application form.)

Training and Experience

(Online programs cannot use in-person NPI number. If Online NPI has not been applied for, please do so and share number once you receive it.)

Interest in Online Chronic Disease Prevention & Health Management Programs
Interest in Online Chronic Disease Prevention & Health Management Program Delivery

(age, race, ethnicity, employees, community, etc)

Resources

  1. CDC’s National Diabetes Prevention Program homepage: https://www.cdc.gov/diabetes/prevention/index.html
  2. National DPP Customer Service Center https://nationaldppcsc.cdc.gov/s/
  3. CDC and Prevention Diabetes Prevention Recognition Program Standards and Operating Procedures: https://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf
  4. Organizational Capacity Assessment for Applicant Organizations to the CDCs DPRP https://www.cdc.gov/diabetes/prevention/pdf/capacity-assessment.pdf
  5. National Diabetes Prevention Program Coverage Toolkit https://coveragetoolkit.org/
  6. National DPP Infographic https://www.cdc.gov/diabetes/library/socialmedia/infographics.html#tabs-2-3
  7. “So…Do I have Prediabetes” website for patients https://doihaveprediabetes.org/
  8. “So…Do I have Prediabetes” Awareness Campaign Toolkit http://prediabetes.adcouncilkit.org/
  9. South Dakota Department of Health’s Undo the Risk website: www.undotherisk.com
  10. South Dakota Diabetes Coalition’s “What is Prediabetes” website pages http://www.sddiabetescoalition.org/prediabetes-awareness.html
  11. American College of Preventative Medicine DPP Resource Center https://www.acpm.org/page/dppresources
  12. “Successfully Delivering an Online DPP Program” webinar provided by CDC https://www.youtube.com/watch?v=xvE-6IouSXg