To whom it may CONCERN

RE: …………………………………………. BORN: …………………….…..

ADR: …………………………………………………………………….……..

This is to confirm that the aboved metioned person is diagnosed with Diabetes mellitus type 1. He/she is using an insulin pump/pen with syringes. He/she needs to carry insulin, extra syringes and other necessary equipment at all times.

Yours sincerely

Jorunn Ulriksen

Pediatician

Sørlandet Hospital Kristiansand

Norway

Telephone +47 38 07 40 35, +47 38 07 40 25