Diabetes Flip Chart This is a comphrensive eduation tool that can be used for all patients with diabetes either in an individual or group setting. This is a colourfull and professionally produced flip chart designed by Dr Heather Gilbertson and trialled at RCH and can be used as the basis of education sessions. It incorporates healthy eating for diabetes and information on GI. Order Form No. of Items Item Description Diabetes flip chart Flip chart plus postage & handing $ Per Item $60.00 $70.00 Total Cheques Please make cheques payable to: Royal Children’s Hospital $ Total $ Credit Card Payment Card Type: Bankcard VISA Card Mastercard Card No: - - - - / - - - - / - - - - / - - - Address to: Nutrition & Food Services Department Royal Children’s Hospital 50 Flemington Road Parkville VIC 3052 Please provide your contact details and delivery address Expiry Date: / / Cardholders Name: ______________________________ Signature:______________________________________