{"id":5898,"date":"2024-09-02T09:48:38","date_gmt":"2024-09-02T01:48:38","guid":{"rendered":"https:\/\/jcsupportdm.hk\/?page_id=5898"},"modified":"2024-09-03T15:53:14","modified_gmt":"2024-09-03T07:53:14","slug":"online-application-form","status":"publish","type":"page","link":"https:\/\/jcsupportdm.hk\/zh-hant\/online-application-form\/","title":{"rendered":"\u7db2\u4e0a\u7533\u8acb\u8868\u683c"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"7d27e540a8f6da68ad2fd694f8d491ec\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_jcsupportforyoungpeoplewithdiabetes-onlineapplication\" data-token=\"7d27e540a8f6da68ad2fd694f8d491ec\">\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Application for JC Support for Young People with Diabetes \u8cfd\u99ac\u6703\u5e74\u8f15\u7cd6\u5c3f\u652f\u63f4\u8a08\u5283\u7db2\u4e0a\u7533\u8acb<\/legend>\r\n<h3 class=\"frm_form_title\">JC Support for Young People with Diabetes <br> \u8cfd\u99ac\u6703\u5e74\u8f15\u7cd6\u5c3f\u652f\u63f4\u8a08\u5283 <br> <p style=\"color:#004EA2\";>Online application \u7db2\u4e0a\u7533\u8acb<\/p><\/h3>\r\n<div class=\"frm_description\"><p>Good diabetes management requires self-monitoring of blood glucose multiple times a day.  Before Continuous Glucose Monitor (CGM), regular finger-prick test was the only way to monitor glucose level.  To help ease the pain and improve life with diabetes, and thanks to the sponsorship of the Jockey Club Charities Trust, Youth Diabetes Action will provide free CGMs for 2 years to selected children and youth with diabetes aged 2 to 30.<br \/>\n\u826f\u597d\u7684\u7cd6\u5c3f\u75c5\u7ba1\u7406\u4f9d\u9760\u6bcf\u65e5\u591a\u6b21\u7684\u8840\u7cd6\u6e2c\u8a66\uff0c\u5728\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\uff08CGM\uff09\u9762\u4e16\u524d\uff0c\u60a3\u8005\u53ea\u80fd\u4f7f\u7528\u624b\u6307\u523a\u91dd\u65b9\u5f0f\uff08\u4fd7\u7a31\u300c\u7be4\u624b\u6307\u300d\uff09\u91cf\u5ea6\u8840\u7cd6\u3002\u611f\u8b1d\u8cfd\u99ac\u6703\u6148\u5584\u4fe1\u8a17\u57fa\u91d1\u7684\u8cc7\u52a9, \u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u5c07\u70ba2\u81f330\u6b72\u7cd6\u5c3f\u75c5\u60a3\u8005\u63d0\u4f9b\u5169\u5e74\u7528\u91cf\u7684CGM\uff0c\u8b93\u4ed6\u5011\u5f97\u5230\u5168\u5929\u5019\u8840\u7cd6\u76e3\u5bdf\uff0c\u63d0\u9ad8\u751f\u6d3b\u8cea\u7d20\u3002<\/p>\n<p><a href=\"https:\/\/jcsupportdm.hk\/wp-content\/uploads\/2026\/04\/JC-Support-for-Young-People-with-Diabetes_Application-Form-with-Appendix-I_260401.pdf\">Download application \u4e0b\u8f09\u7533\u8acb\u8868\u683c<\/a><\/p>\n<\/div><div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"jcsupportforyoungpeoplewithdiabetes-onlineapplication\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"77912c6fca\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/zh-hant\/wp-json\/wp\/v2\/pages\/5898\" \/><div id=\"frm_field_49_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Part I - Particulars of applicant \u7b2c\u4e00\u90e8\u4efd - \u7533\u8acb\u4eba\u8cc7\u6599<\/h3>\r\n\r\n\r\n<div id=\"frm_field_11_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_bmp7o_label\" class=\"frm_primary_label\">Name (Eng) \u82f1\u6587\u59d3\u540d\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_bmp7o_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName (Eng) \u82f1\u6587\u59d3\u540d\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_11\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_11-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_bmp7o_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tSurname \u59d3\u6c0f\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_bmp7o_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[11][first]\"  data-sectionid=\"49\"  data-reqmsg=\"Name (Eng) \u82f1\u6587\u59d3\u540d cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name (Eng) \u82f1\u6587\u59d3\u540d is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_11_first_desc\">Surname \u59d3\u6c0f<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_11-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_bmp7o_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst name \u540d\u5b57\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_bmp7o_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[11][last]\"  data-sectionid=\"49\"  data-reqmsg=\"Name (Eng) \u82f1\u6587\u59d3\u540d cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name (Eng) \u82f1\u6587\u59d3\u540d is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_11_last_desc\">First name \u540d\u5b57<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_cgztd_label\" class=\"frm_primary_label\">Name (Chi) \u4e2d\u6587\u59d3\u540d\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_cgztd_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName (Chi) \u4e2d\u6587\u59d3\u540d\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_12\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_12-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_cgztd_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tSurname \u59d3\u6c0f\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_cgztd_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[12][first]\"  data-sectionid=\"49\"  data-reqmsg=\"Name (Chi) \u4e2d\u6587\u59d3\u540d cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name (Chi) \u4e2d\u6587\u59d3\u540d is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_12_first_desc\">Surname \u59d3\u6c0f<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_12-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_cgztd_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst name \u540d\u5b57\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_cgztd_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[12][last]\"  data-sectionid=\"49\"  data-reqmsg=\"Name (Chi) \u4e2d\u6587\u59d3\u540d cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name (Chi) \u4e2d\u6587\u59d3\u540d is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_12_last_desc\">First name \u540d\u5b57<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_8dq9a\" id=\"field_8dq9a_label\" class=\"frm_primary_label\">YDA membership no. \u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u6703\u54e1\u865f\u78bc\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_8dq9a\" name=\"item_meta[16]\" value=\"\"  data-sectionid=\"49\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"99999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first vertical_radio\">\r\n    <div  id=\"field_43615a_label\" class=\"frm_primary_label\">Gender \u6027\u5225\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_43615a_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_17-49-0\">\t\t\t<label  for=\"field_43615a-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[17]\" id=\"field_43615a-0\" value=\"Male \u7537\"\n\t\t   data-sectionid=\"49\"  data-reqmsg=\"Gender \u6027\u5225 cannot be blank.\" data-invmsg=\"Gender \u6027\u5225 is invalid\" aria-invalid=\"false\"  \/> Male \u7537<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_17-49-1\">\t\t\t<label  for=\"field_43615a-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[17]\" id=\"field_43615a-1\" value=\"Female \u5973\"\n\t\t   data-sectionid=\"49\"  data-reqmsg=\"Gender \u6027\u5225 cannot be blank.\" data-invmsg=\"Gender \u6027\u5225 is invalid\" aria-invalid=\"false\"  \/> Female \u5973<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_w2hzc\" id=\"field_w2hzc_label\" class=\"frm_primary_label\">Date of Birth \u51fa\u751f\u65e5\u671f\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w2hzc\" name=\"item_meta[18]\" value=\"\"  data-sectionid=\"49\"  data-reqmsg=\"Date of Birth \u51fa\u751f\u65e5\u671f cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first vertical_radio frm_other_container\">\r\n    <div  id=\"field_ebh2x_label\" class=\"frm_primary_label\">Type of Diabetes \u7cd6\u5c3f\u75c5\u985e\u578b\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ebh2x_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_13-49-0\">\t\t\t<label  for=\"field_ebh2x-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[13]\" id=\"field_ebh2x-0\" value=\"Type 1 \u4e00\u578b\"\n\t\t   data-sectionid=\"49\"  data-reqmsg=\"Type of Diabetes \u7cd6\u5c3f\u75c5\u985e\u578b cannot be blank.\" data-invmsg=\"Type of Diabetes \u7cd6\u5c3f\u75c5\u985e\u578b is invalid\" aria-invalid=\"false\"  \/> Type 1 \u4e00\u578b<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_13-49-1\">\t\t\t<label  for=\"field_ebh2x-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[13]\" id=\"field_ebh2x-1\" value=\"Type 2 \u4e8c\u578b\"\n\t\t   data-sectionid=\"49\"  data-reqmsg=\"Type of Diabetes \u7cd6\u5c3f\u75c5\u985e\u578b cannot be blank.\" data-invmsg=\"Type of Diabetes \u7cd6\u5c3f\u75c5\u985e\u578b is invalid\" aria-invalid=\"false\"  \/> Type 2 \u4e8c\u578b<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_13-49-other_2\">\t\t\t<label  for=\"field_ebh2x-other_2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[13]\" id=\"field_ebh2x-other_2\" value=\"Other \u5176\u4ed6\"\n\t\t   data-sectionid=\"49\"  data-reqmsg=\"Type of Diabetes \u7cd6\u5c3f\u75c5\u985e\u578b cannot be blank.\" data-invmsg=\"Type of Diabetes \u7cd6\u5c3f\u75c5\u985e\u578b is invalid\" aria-invalid=\"false\"  \/> Other \u5176\u4ed6<\/label><label for=\"field_ebh2x-other_2-otext\" class=\"frm_screen_reader frm_hidden\">Other \u5176\u4ed6<\/label><input type=\"text\" id=\"field_ebh2x-other_2-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][13]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <div  id=\"field_4d073_label\" class=\"frm_primary_label\">Year & month of Diagnosis \u78ba\u8a3a\u5e74\u4efd\u53ca\u6708\u4efd\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_4d073_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tYear & month of Diagnosis \u78ba\u8a3a\u5e74\u4efd\u53ca\u6708\u4efd\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_31\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_31-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_4d073_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tMonth \u6708\u4efd\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_4d073_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[31][first]\"  data-sectionid=\"49\"  data-invmsg=\"Year & month of Diagnosis \u78ba\u8a3a\u5e74\u4efd\u53ca\u6708\u4efd is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_31_first_desc\">Month \u6708\u4efd<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_31-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_4d073_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tYear \u5e74\u4efd\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_4d073_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[31][last]\"  data-sectionid=\"49\"  data-invmsg=\"Year & month of Diagnosis \u78ba\u8a3a\u5e74\u4efd\u53ca\u6708\u4efd is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_31_last_desc\">Year \u5e74\u4efd<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_other_container\">\r\n    <label for=\"field_lf6y3\" id=\"field_lf6y3_label\" class=\"frm_primary_label\">Follow Up Hospital \u8986\u8a3a\u91ab\u9662\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[23]\" id=\"field_lf6y3\"  data-sectionid=\"49\"  data-placeholder=\"Follow Up Hospital \u8986\u8a3a\u91ab\u9662\"  placeholder=\"Follow Up Hospital \u8986\u8a3a\u91ab\u9662\" data-reqmsg=\"Follow Up Hospital \u8986\u8a3a\u91ab\u9662 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Follow Up Hospital \u8986\u8a3a\u91ab\u9662 is invalid\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">Follow Up Hospital \u8986\u8a3a\u91ab\u9662<\/option><option  value=\"AHMLNH \u5927\u57d4\u90a3\u6253\u7d20\u91ab\u9662\">AHMLNH \u5927\u57d4\u90a3\u6253\u7d20\u91ab\u9662<\/option><option  value=\"CH \u5152\u7ae5\u91ab\u9662\">CH \u5152\u7ae5\u91ab\u9662<\/option><option  value=\"CMC \u660e\u611b\u91ab\u9662\">CMC \u660e\u611b\u91ab\u9662<\/option><option  value=\"KWH \u5ee3\u83ef\u91ab\u9662\">KWH \u5ee3\u83ef\u91ab\u9662<\/option><option  value=\"PMH \u746a\u5609\u70c8\u91ab\u9662\">PMH \u746a\u5609\u70c8\u91ab\u9662<\/option><option  value=\"POH \u535a\u611b\u91ab\u9662\">POH \u535a\u611b\u91ab\u9662<\/option><option  value=\"PWH \u5a01\u723e\u65af\u91ab\u9662\">PWH \u5a01\u723e\u65af\u91ab\u9662<\/option><option  value=\"PYNEH \u6771\u5340\u91ab\u9662\">PYNEH \u6771\u5340\u91ab\u9662<\/option><option  value=\"QEH \u4f0a\u5229\u6c99\u4f2f\u91ab\u9662\">QEH \u4f0a\u5229\u6c99\u4f2f\u91ab\u9662<\/option><option  value=\"QMH \u746a\u9e97\u91ab\u9662\">QMH \u746a\u9e97\u91ab\u9662<\/option><option  value=\"TKOH \u5c07\u8ecd\u6fb3\u91ab\u9662\">TKOH \u5c07\u8ecd\u6fb3\u91ab\u9662<\/option><option  value=\"TMH \u5c6f\u9580\u91ab\u9662\">TMH \u5c6f\u9580\u91ab\u9662<\/option><option  value=\"UCH\u00a0\u806f\u5408\u91ab\u9662\">UCH\u00a0\u806f\u5408\u91ab\u9662<\/option><option  value=\"Other \u5176\u4ed6\" class=\"frm_other_trigger\">Other \u5176\u4ed6<\/option>\t<\/select>\n\t<label for=\"field_lf6y3-otext\" class=\"frm_screen_reader frm_hidden\">Follow Up Hospital \u8986\u8a3a\u91ab\u9662<\/label><input type=\"text\" id=\"field_lf6y3-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][23]\" value=\"\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_f0wts\" id=\"field_f0wts_label\" class=\"frm_primary_label\">Other medical condition(s) (if any) \u5176\u4ed6\u91ab\u7642\u72c0\u6cc1 \uff08\u5982\u6709\uff09\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f0wts\" name=\"item_meta[25]\" value=\"\"  data-sectionid=\"49\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_skicb\" id=\"field_skicb_label\" class=\"frm_primary_label\">Residential Address \u5c45\u4f4f\u5730\u5740\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_skicb\" name=\"item_meta[30]\" value=\"\"  data-sectionid=\"49\"  data-reqmsg=\"Residential Address \u5c45\u4f4f\u5730\u5740 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_ndb4f\" id=\"field_ndb4f_label\" class=\"frm_primary_label\">Phone no. \u806f\u7d61\u96fb\u8a71\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_ndb4f\" name=\"item_meta[29]\" value=\"\"  data-sectionid=\"49\"  data-frmmask=\"(999) 9999 9999\" data-reqmsg=\"Phone no. \u806f\u7d61\u96fb\u8a71 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d\\d \\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_28_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_vxi2c\" id=\"field_vxi2c_label\" class=\"frm_primary_label\">Email \u96fb\u90f5\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_vxi2c\" name=\"item_meta[28]\" value=\"\"  data-reqmsg=\"Email \u96fb\u90f5 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_278qf_label\" class=\"frm_primary_label\">Brand & model of Mobile Phone \u667a\u80fd\u96fb\u8a71\u724c\u5b50\u53ca\u578b\u865f\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_278qf_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tBrand & model of Mobile Phone \u667a\u80fd\u96fb\u8a71\u724c\u5b50\u53ca\u578b\u865f\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_57\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_57-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_278qf_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tBrand \u724c\u5b50\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_278qf_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[57][first]\"  data-sectionid=\"49\"  data-reqmsg=\"Brand & model of Mobile Phone \u667a\u80fd\u96fb\u8a71\u724c\u5b50\u53ca\u578b\u865f cannot be blank.\" aria-required=\"true\" data-invmsg=\"Brand & model of Mobile Phone \u667a\u80fd\u96fb\u8a71\u724c\u5b50\u53ca\u578b\u865f is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_57_first_desc\">Brand \u724c\u5b50<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_57-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_278qf_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tModel \u578b\u865f\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_278qf_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[57][last]\"  data-sectionid=\"49\"  data-reqmsg=\"Brand & model of Mobile Phone \u667a\u80fd\u96fb\u8a71\u724c\u5b50\u53ca\u578b\u865f cannot be blank.\" aria-required=\"true\" data-invmsg=\"Brand & model of Mobile Phone \u667a\u80fd\u96fb\u8a71\u724c\u5b50\u53ca\u578b\u865f is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_57_last_desc\">Model \u578b\u865f<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_l5idp_label\" class=\"frm_primary_label\">Please select the type(s) of allowance received (if any) \u8acb\u9078\u53d6\u5df2\u7372\u53d6\u7684\u63f4\u52a9\uff0f\u6d25\u8cbc\uff08\u5982\u6709\uff09\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_l5idp_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_32-49-0\">\t\t\t<label  for=\"field_l5idp-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[32][]\" id=\"field_l5idp-0\" value=\"YDA Financial Assistance Programme \u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u91ab\u7642\u7528\u54c1\u8cc7\u52a9\u8a08\u5283 (FAP)\"  data-sectionid=\"49\"  data-invmsg=\"Please select the type(s) of allowance received (if any) \u8acb\u9078\u53d6\u5df2\u7372\u53d6\u7684\u63f4\u52a9\uff0f\u6d25\u8cbc\uff08\u5982\u6709\uff09 is invalid\" aria-invalid=\"false\"   \/> YDA Financial Assistance Programme \u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u91ab\u7642\u7528\u54c1\u8cc7\u52a9\u8a08\u5283 (FAP)<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_32-49-1\">\t\t\t<label  for=\"field_l5idp-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[32][]\" id=\"field_l5idp-1\" value=\"Comprehensive Social Security Assistance Scheme (CSSA) \u7d9c\u5408\u793e\u6703\u4fdd\u969c\u63f4\u52a9\u8a08\u5283\uff08\u7d9c\u63f4\uff09\"  data-sectionid=\"49\"  data-invmsg=\"Please select the type(s) of allowance received (if any) \u8acb\u9078\u53d6\u5df2\u7372\u53d6\u7684\u63f4\u52a9\uff0f\u6d25\u8cbc\uff08\u5982\u6709\uff09 is invalid\" aria-invalid=\"false\"   \/> Comprehensive Social Security Assistance Scheme (CSSA) \u7d9c\u5408\u793e\u6703\u4fdd\u969c\u63f4\u52a9\u8a08\u5283\uff08\u7d9c\u63f4\uff09<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_55_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Part II - Details of parents or emergency contact \u7b2c\u4e8c\u90e8\u4efd - \u5bb6\u9577\u6216\u7dca\u6025\u806f\u7d61\u8cc7\u6599<\/h3>\r\n\r\n\r\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_vhzo6_label\" class=\"frm_primary_label\">Name of first contact \u7b2c\u4e00\u4f4d\u806f\u7d61\u4eba\u59d3\u540d\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_vhzo6_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName of first contact \u7b2c\u4e00\u4f4d\u806f\u7d61\u4eba\u59d3\u540d\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_61\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_61-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_vhzo6_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tSurname \u59d3\u6c0f\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_vhzo6_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[61][first]\"  data-sectionid=\"55\"  data-reqmsg=\"Name of first contact \u7b2c\u4e00\u4f4d\u806f\u7d61\u4eba\u59d3\u540d cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of first contact \u7b2c\u4e00\u4f4d\u806f\u7d61\u4eba\u59d3\u540d is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_61_first_desc\">Surname \u59d3\u6c0f<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_61-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_vhzo6_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst name \u540d\u5b57\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_vhzo6_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[61][last]\"  data-sectionid=\"55\"  data-reqmsg=\"Name of first contact \u7b2c\u4e00\u4f4d\u806f\u7d61\u4eba\u59d3\u540d cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of first contact \u7b2c\u4e00\u4f4d\u806f\u7d61\u4eba\u59d3\u540d is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_61_last_desc\">First name \u540d\u5b57<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_19tpe\" id=\"field_19tpe_label\" class=\"frm_primary_label\">Phone no. \u806f\u7d61\u96fb\u8a71\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_19tpe\" name=\"item_meta[63]\" value=\"\"  data-sectionid=\"55\"  data-frmmask=\"(999) 9999 9999\" data-reqmsg=\"Phone no. \u806f\u7d61\u96fb\u8a71 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d\\d \\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_5mxst\" id=\"field_5mxst_label\" class=\"frm_primary_label\">Email \u96fb\u90f5\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_5mxst\" name=\"item_meta[62]\" value=\"\"  data-sectionid=\"55\"  data-reqmsg=\"Email \u96fb\u90f5 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_fvqxa\" id=\"field_fvqxa_label\" class=\"frm_primary_label\">Relationship with Applicant \u8207\u7533\u8acb\u4eba\u4e4b\u95dc\u4fc2\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fvqxa\" name=\"item_meta[64]\" value=\"\"  data-sectionid=\"55\"  data-reqmsg=\"Relationship with Applicant \u8207\u7533\u8acb\u4eba\u4e4b\u95dc\u4fc2 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_36_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_b85xf_label\" class=\"frm_primary_label\">Name of second contact \u7b2c\u4e8c\u4f4d\u806f\u7d61\u4eba\u59d3\u540d\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_b85xf_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName of second contact \u7b2c\u4e8c\u4f4d\u806f\u7d61\u4eba\u59d3\u540d\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_36\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_36-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_b85xf_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tSurname \u59d3\u6c0f\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_b85xf_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[36][first]\"  data-sectionid=\"55\"  data-reqmsg=\"Name of second contact \u7b2c\u4e8c\u4f4d\u806f\u7d61\u4eba\u59d3\u540d cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of second contact \u7b2c\u4e8c\u4f4d\u806f\u7d61\u4eba\u59d3\u540d is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_36_first_desc\">Surname \u59d3\u6c0f<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_36-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_b85xf_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst name \u540d\u5b57\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_b85xf_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[36][last]\"  data-sectionid=\"55\"  data-reqmsg=\"Name of second contact \u7b2c\u4e8c\u4f4d\u806f\u7d61\u4eba\u59d3\u540d cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of second contact \u7b2c\u4e8c\u4f4d\u806f\u7d61\u4eba\u59d3\u540d is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_36_last_desc\">First name \u540d\u5b57<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_5c6du\" id=\"field_5c6du_label\" class=\"frm_primary_label\">Phone no. \u806f\u7d61\u96fb\u8a71\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_5c6du\" name=\"item_meta[39]\" value=\"\"  data-sectionid=\"55\"  data-frmmask=\"(999) 9999 9999\" data-reqmsg=\"Phone no. \u806f\u7d61\u96fb\u8a71 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d\\d \\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_37jed\" id=\"field_37jed_label\" class=\"frm_primary_label\">Email \u96fb\u90f5\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_37jed\" name=\"item_meta[37]\" value=\"\"  data-sectionid=\"55\"  data-reqmsg=\"Email \u96fb\u90f5 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_3d90d\" id=\"field_3d90d_label\" class=\"frm_primary_label\">Relationship with Applicant \u8207\u7533\u8acb\u4eba\u4e4b\u95dc\u4fc2\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3d90d\" name=\"item_meta[43]\" value=\"\"  data-sectionid=\"55\"  data-reqmsg=\"Relationship with Applicant \u8207\u7533\u8acb\u4eba\u4e4b\u95dc\u4fc2 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_76_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Part III - Current CGM Consumption \u7b2c\u4e09\u90e8\u4efd - CGM\u4f7f\u7528\u73fe\u6cc1<\/h3>\r\n\r\n\r\n<div id=\"frm_field_103_container\" class=\"frm_form_field  frm_html_container form-field\">\n<ul>\n<li>YDA reserves the right to allocate the brand and quantity of CGM to successful applicants. Applicants cannot arbitrarily request to change the approved CGM model, unless the applicant has reasonable grounds and obtains a referral form signed by a healthcare professional.<br \/>YDA \u4fdd\u7559\u5206\u914dCGM\u7684\u6578\u91cf\u3001\u54c1\u724c\u53ca\u578b\u865f\u7684\u6c7a\u5b9a\u6b0a\u3002\u7533\u8acb\u4eba\u4e0d\u80fd\u4efb\u610f\u8981\u6c42\u66f4\u63db\u7372\u6279\u4e4bCGM\u54c1\u724c\u53ca\u578b\u865f\uff0c\u9664\u975e\u7533\u8acb\u4eba\u6709\u5408\u7406\u7406\u7531\u4e26\u53d6\u5f97\u7531\u91ab\u8b77\u4eba\u54e1\u7c3d\u767c\u4e4b\u8f49\u4ecb\u8868<\/li>\n<li>The quantity of CGM distributed under the Jockey Club Support for Young People with Diabetes\u2019 programme is complementary to match the CGM programme of the Hospital Authority<br \/>\u8cfd\u99ac\u6703\u5e74\u8f15\u7cd6\u5c3f\u652f\u63f4\u8a08\u5283\u6d3e\u767c\u7684CGM\u6578\u91cf\u5c07\u914d\u5408\u91ab\u9662\u7ba1\u7406\u5c40CGM\u8a08\u5283<\/li>\n<\/ul>\n<\/div>\n<div id=\"frm_field_79_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_srju8_label\" class=\"frm_primary_label\">Have you used CGM before? \u66fe\u5426\u4f7f\u7528CGM\uff1f\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_srju8_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_79-76-0\">\t\t\t<label  for=\"field_srju8-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[79]\" id=\"field_srju8-0\" value=\"Yes \u662f\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Have you used CGM before? \u66fe\u5426\u4f7f\u7528CGM\uff1f cannot be blank.\" data-invmsg=\"Have you used CGM before? \u66fe\u5426\u4f7f\u7528CGM\uff1f is invalid\" aria-invalid=\"false\"  \/> Yes \u662f<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_79-76-1\">\t\t\t<label  for=\"field_srju8-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[79]\" id=\"field_srju8-1\" value=\"No \u5426\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Have you used CGM before? \u66fe\u5426\u4f7f\u7528CGM\uff1f cannot be blank.\" data-invmsg=\"Have you used CGM before? \u66fe\u5426\u4f7f\u7528CGM\uff1f is invalid\" aria-invalid=\"false\"  \/> No \u5426<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_85_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_7qn19_label\" class=\"frm_primary_label\">Are you a pump user? \u4f60\u662f\u5426\u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff1f\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_7qn19_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_85-76-0\">\t\t\t<label  for=\"field_7qn19-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[85]\" id=\"field_7qn19-0\" value=\"Yes \u662f\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Are you a pump user? \u4f60\u662f\u5426\u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff1f cannot be blank.\" data-invmsg=\"Are you a pump user? \u4f60\u662f\u5426\u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff1f is invalid\" aria-invalid=\"false\"  \/> Yes \u662f<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_85-76-1\">\t\t\t<label  for=\"field_7qn19-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[85]\" id=\"field_7qn19-1\" value=\"No \u5426\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Are you a pump user? \u4f60\u662f\u5426\u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff1f cannot be blank.\" data-invmsg=\"Are you a pump user? \u4f60\u662f\u5426\u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff1f is invalid\" aria-invalid=\"false\"  \/> No \u5426<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_86_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio frm_other_container\">\r\n\t<div  id=\"field_5phgn_label\" class=\"frm_primary_label\">Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_5phgn_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_86-76-0\">\t\t\t<label  for=\"field_5phgn-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[86]\" id=\"field_5phgn-0\" value=\"Dexcom G6\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c cannot be blank.\" data-invmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c is invalid\" aria-invalid=\"false\"  \/> Dexcom G6<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_86-76-1\">\t\t\t<label  for=\"field_5phgn-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[86]\" id=\"field_5phgn-1\" value=\"Dexcom G7\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c cannot be blank.\" data-invmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c is invalid\" aria-invalid=\"false\"  \/> Dexcom G7<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_86-76-2\">\t\t\t<label  for=\"field_5phgn-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[86]\" id=\"field_5phgn-2\" value=\"FreeStyle Libre 1 \/ 2 Plus\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c cannot be blank.\" data-invmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c is invalid\" aria-invalid=\"false\"  \/> FreeStyle Libre 1 \/ 2 Plus<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_86-76-3\">\t\t\t<label  for=\"field_5phgn-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[86]\" id=\"field_5phgn-3\" value=\"Medtronic Guardian 3\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c cannot be blank.\" data-invmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c is invalid\" aria-invalid=\"false\"  \/> Medtronic Guardian 3<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_86-76-4\">\t\t\t<label  for=\"field_5phgn-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[86]\" id=\"field_5phgn-4\" value=\"Medtronic Guardian 4 \uff08for Pump user \u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff09\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c cannot be blank.\" data-invmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c is invalid\" aria-invalid=\"false\"  \/> Medtronic Guardian 4 \uff08for Pump user \u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff09<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_86-76-5\">\t\t\t<label  for=\"field_5phgn-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[86]\" id=\"field_5phgn-5\" value=\"Medtronic Guardian 4 (Standalone)\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c cannot be blank.\" data-invmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c is invalid\" aria-invalid=\"false\"  \/> Medtronic Guardian 4 (Standalone)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_86-76-other_6\">\t\t\t<label  for=\"field_5phgn-other_6\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[86]\" id=\"field_5phgn-other_6\" value=\"Other \u5176\u4ed6\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c cannot be blank.\" data-invmsg=\"Brand of CGM currently using   \u73fe\u4f7f\u7528\u4e4bCGM\u54c1\u724c is invalid\" aria-invalid=\"false\"  \/> Other \u5176\u4ed6<\/label><label for=\"field_5phgn-other_6-otext\" class=\"frm_screen_reader frm_hidden\">Other \u5176\u4ed6<\/label><input type=\"text\" id=\"field_5phgn-other_6-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][86]\" value=\"\" \/><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_80_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_bbtd9_label\" class=\"frm_primary_label\">Are you currently getting CGM from Hospital Authority? \u4f60\u73fe\u5728\u662f\u5426\u5f9e\u91ab\u9662\u7ba1\u7406\u5c40\u7372\u5f97CGM\uff1f\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_bbtd9_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_80-76-0\">\t\t\t<label  for=\"field_bbtd9-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[80]\" id=\"field_bbtd9-0\" value=\"Yes \u662f\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Are you currently getting CGM from Hospital Authority? \u4f60\u73fe\u5728\u662f\u5426\u5f9e\u91ab\u9662\u7ba1\u7406\u5c40\u7372\u5f97CGM\uff1f cannot be blank.\" data-invmsg=\"Are you currently getting CGM from Hospital Authority? \u4f60\u73fe\u5728\u662f\u5426\u5f9e\u91ab\u9662\u7ba1\u7406\u5c40\u7372\u5f97CGM\uff1f is invalid\" aria-invalid=\"false\"  \/> Yes \u662f<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_80-76-1\">\t\t\t<label  for=\"field_bbtd9-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[80]\" id=\"field_bbtd9-1\" value=\"No \u5426\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Are you currently getting CGM from Hospital Authority? \u4f60\u73fe\u5728\u662f\u5426\u5f9e\u91ab\u9662\u7ba1\u7406\u5c40\u7372\u5f97CGM\uff1f cannot be blank.\" data-invmsg=\"Are you currently getting CGM from Hospital Authority? \u4f60\u73fe\u5728\u662f\u5426\u5f9e\u91ab\u9662\u7ba1\u7406\u5c40\u7372\u5f97CGM\uff1f is invalid\" aria-invalid=\"false\"  \/> No \u5426<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_81_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_kt47w\" id=\"field_kt47w_label\" class=\"frm_primary_label\">Continuing from the above question, if yes, how many you get in the past 12 months?  \u627f\u4e0a\u984c\uff0c\u5982\u6709\uff0c\u904e\u53bb12\u500b\u6708\u5171\u53d6\u5f97\u591a\u5c11\u500bCGM\uff1f\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_kt47w\" name=\"item_meta[81]\" value=\"\"  data-sectionid=\"76\"  data-reqmsg=\"Continuing from the above question, if yes, how many you get in the past 12 months?  \u627f\u4e0a\u984c\uff0c\u5982\u6709\uff0c\u904e\u53bb12\u500b\u6708\u5171\u53d6\u5f97\u591a\u5c11\u500bCGM\uff1f cannot be blank.\" aria-required=\"true\" data-invmsg=\"Continuing from the above question, if yes, how many you get in the past 12 months?  \u627f\u4e0a\u984c\uff0c\u5982\u6709\uff0c\u904e\u53bb12\u500b\u6708\u5171\u53d6\u5f97\u591a\u5c11\u500bCGM\uff1f is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_87_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio frm_other_container\">\r\n\t<div  id=\"field_ub341_label\" class=\"frm_primary_label\">Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_ub341_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_87-76-1\">\t\t\t<label  for=\"field_ub341-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[87]\" id=\"field_ub341-1\" value=\"Dexcom G7\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f cannot be blank.\" data-invmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f is invalid\" aria-invalid=\"false\"  \/> Dexcom G7<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_87-76-2\">\t\t\t<label  for=\"field_ub341-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[87]\" id=\"field_ub341-2\" value=\"FreeStyle Libre 2 Plus\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f cannot be blank.\" data-invmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f is invalid\" aria-invalid=\"false\"  \/> FreeStyle Libre 2 Plus<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_87-76-3\">\t\t\t<label  for=\"field_ub341-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[87]\" id=\"field_ub341-3\" value=\"Medtronic Guardian 3\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f cannot be blank.\" data-invmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f is invalid\" aria-invalid=\"false\"  \/> Medtronic Guardian 3<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_87-76-4\">\t\t\t<label  for=\"field_ub341-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[87]\" id=\"field_ub341-4\" value=\"Medtronic Guardian 4 \uff08for Pump user \u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff09\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f cannot be blank.\" data-invmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f is invalid\" aria-invalid=\"false\"  \/> Medtronic Guardian 4 \uff08for Pump user \u80f0\u5cf6\u7d20\u6cf5\u4f7f\u7528\u8005\uff09<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_87-76-5\">\t\t\t<label  for=\"field_ub341-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[87]\" id=\"field_ub341-5\" value=\"Medtronic Simplera\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f cannot be blank.\" data-invmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f is invalid\" aria-invalid=\"false\"  \/> Medtronic Simplera<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_87-76-other_6\">\t\t\t<label  for=\"field_ub341-other_6\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[87]\" id=\"field_ub341-other_6\" value=\"Other \u5176\u4ed6\"\n\t\t   data-sectionid=\"76\"  data-reqmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f cannot be blank.\" data-invmsg=\"Brand and model of real-time CGM applied for  \u6b32\u7533\u8acb\u4e4b\u5be6\u6642CGM\u54c1\u724c\u53ca\u578b\u865f is invalid\" aria-invalid=\"false\"  \/> Other \u5176\u4ed6<\/label><label for=\"field_ub341-other_6-otext\" class=\"frm_screen_reader frm_hidden\">Other \u5176\u4ed6<\/label><input type=\"text\" id=\"field_ub341-other_6-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][87]\" value=\"\" \/><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_89_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Part IV - Supplementary Information \u7b2c\u56db\u90e8\u4efd - \u88dc\u5145\u8cc7\u6599<\/h3>\r\n\r\n\r\n<div id=\"frm_field_91_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio frm_other_container\">\r\n\t<div  id=\"field_cumfq_label\" class=\"frm_primary_label\">Are you planning to study or stay abroad for longer than 3 months during project period? \u662f\u5426\u6253\u7b97\u5728\u8a08\u5283\u671f\u5167\u7559\u5b78\u6216\u9017\u7559\u6d77\u5916\u8d85\u904e3\u500b\u6708\uff1f\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_cumfq_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_91-89-other_2\">\t\t\t<label  for=\"field_cumfq-other_2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[91]\" id=\"field_cumfq-other_2\" value=\"Yes \u662f\uff08Please specify place and period of stay. \u8acb\u8a3b\u660e\u5730\u9ede\u53ca\u9017\u7559\u6642\u9593\uff09\"\n\t\t   data-sectionid=\"89\"  data-reqmsg=\"Are you planning to study or stay abroad for longer than 3 months during project period? \u662f\u5426\u6253\u7b97\u5728\u8a08\u5283\u671f\u5167\u7559\u5b78\u6216\u9017\u7559\u6d77\u5916\u8d85\u904e3\u500b\u6708\uff1f cannot be blank.\" data-invmsg=\"Are you planning to study or stay abroad for longer than 3 months during project period? \u662f\u5426\u6253\u7b97\u5728\u8a08\u5283\u671f\u5167\u7559\u5b78\u6216\u9017\u7559\u6d77\u5916\u8d85\u904e3\u500b\u6708\uff1f is invalid\" aria-invalid=\"false\"  \/> Yes \u662f\uff08Please specify place and period of stay. \u8acb\u8a3b\u660e\u5730\u9ede\u53ca\u9017\u7559\u6642\u9593\uff09<\/label><label for=\"field_cumfq-other_2-otext\" class=\"frm_screen_reader frm_hidden\">Yes \u662f\uff08Please specify place and period of stay. \u8acb\u8a3b\u660e\u5730\u9ede\u53ca\u9017\u7559\u6642\u9593\uff09<\/label><input type=\"text\" id=\"field_cumfq-other_2-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][91]\" value=\"\" \/><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_91-89-0\">\t\t\t<label  for=\"field_cumfq-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[91]\" id=\"field_cumfq-0\" value=\"No \u5426\"\n\t\t   data-sectionid=\"89\"  data-reqmsg=\"Are you planning to study or stay abroad for longer than 3 months during project period? \u662f\u5426\u6253\u7b97\u5728\u8a08\u5283\u671f\u5167\u7559\u5b78\u6216\u9017\u7559\u6d77\u5916\u8d85\u904e3\u500b\u6708\uff1f cannot be blank.\" data-invmsg=\"Are you planning to study or stay abroad for longer than 3 months during project period? \u662f\u5426\u6253\u7b97\u5728\u8a08\u5283\u671f\u5167\u7559\u5b78\u6216\u9017\u7559\u6d77\u5916\u8d85\u904e3\u500b\u6708\uff1f is invalid\" aria-invalid=\"false\"  \/> No \u5426<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_92_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_c00me\" id=\"field_c00me_label\" class=\"frm_primary_label\">Other information \u5176\u4ed6\u88dc\u5145\u4e8b\u9805\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[92]\" id=\"field_c00me\" rows=\"5\"  data-sectionid=\"89\"  data-invmsg=\"Other information \u5176\u4ed6\u88dc\u5145\u4e8b\u9805 is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_c00me\"><\/textarea>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_c00me\">e.g. Pregnancy, Special medical needs, relatively higher HbA1c, financial difficulty or other information\r\n\u5982\u61f7\u5b55\u3001\u7279\u6b8a\u91ab\u7642\u9700\u8981\u3001\u7cd6\u5316\u8840\u8272\u7d20\u504f\u9ad8\u3001\u7d93\u6fdf\u56f0\u96e3\u6216\u5176\u4ed6\u88dc\u5145\u4e8b\u9805<\/div>\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_98_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Notes \u9644\u8a3b<\/h3>\r\n\r\n\r\n<div id=\"frm_field_102_container\" class=\"frm_form_field  frm_html_container form-field\">\n<ol>\n<li>CGM supply will be on a first-come-first-served basis. \u540d\u984d\u6709\u9650\uff0c\u5148\u5230\u5148\u5f97\uff0c\u984d\u6eff\u5373\u6b62\u3002<\/li>\n<li>YDA reserves the right to amend the terms or cancel this Programme at its discretion without any notice. \u672c\u6703\u6709\u6b0a\u66f4\u6539\u6216\u53d6\u6d88\u672c\u8a08\u5283\u800c\u6bcb\u9808\u4f5c\u51fa\u4efb\u4f55\u901a\u77e5\u53ca\u89e3\u91cb<\/li>\n<li>If an excess supply of CGM sensors is given due to miscalculation, applicants are liable to return any excess quantity to YDA. \u5018\u82e5\u56e0\u8a08\u7b97\u932f\u8aa4\u800c\u5c0e\u81f4\u7533\u8acb\u4eba\u7372\u591a\u767c\u653e\u7269\u8cc7\uff0c\u7533\u8acb\u4eba\u5fc5\u9808\u628a\u7269\u8cc7\u9000\u9084<\/li>\n<li>All CGM distributed by YDA are not to be used for commercial or resale purposes. \u6240\u6709\u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u6d3e\u767c\u7684\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u5747\u4e0d\u53ef\u7528\u4f5c\u5546\u696d\u6216\u8f49\u552e\u7528\u9014\u3002<\/li>\n<li>Selected users must consult their own attending medical professionals regarding CGM data or alerts. YDA will not be responsible for any medical data or alerts by CGMs provided to users. \u7372\u9078\u7533\u8acb\u4eba\u9700\u81ea\u884c\u5411\u4e3b\u8a3a\u91ab\u8b77\u67e5\u8a62\u4efb\u4f55\u8207\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u6709\u95dc\u7684\u6578\u64da\u6216\u8b66\u793a\u3002\u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u6055\u4e0d\u70ba\u6240\u63d0\u4f9b\u7684\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u7684\u4efb\u4f55\u91ab\u5b78\u6578\u64da\u6216\u8b66\u793a\u8ca0\u8cac\u3002<\/li>\n<li>Allergy or bleeding may occur on the applied site of CGM, users must assume the risks themselves. \u4f7f\u7528\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u4e4b\u4f4d\u7f6e\u6709\u6a5f\u6703\u51fa\u73fe\u654f\u611f\u6216\u6d41\u8840\u7b49\u60c5\u6cc1\uff0c\u7528\u5bb6\u9700\u81ea\u884c\u627f\u64d4\u98a8\u96aa\u3002<\/li>\n<li>The information collected in the Jockey Club Support for Young People with Diabetes Programme is only used for programme application, approval, research and programme related purposes. At the end of the programme, the above-mentioned information will be destroyed. \u8cfd\u99ac\u6703\u5e74\u8f15\u7cd6\u5c3f\u652f\u63f4\u8a08\u5283\u4e2d\u6536\u96c6\u7684\u8cc7\u8a0a\u50c5\u4f5c\u8a08\u5283\u7533\u8acb\u3001\u5be9\u6279\u3001\u7814\u7a76\u53ca\u5176\u4ed6\u76f8\u95dc\u4e4b\u8a08\u5283\u7528\u9014\u3002\u8a08\u5283\u5b8c\u7d50\u6642\uff0c\u4e0a\u8ff0\u6709\u95dc\u8cc7\u6599\u5c07\u88ab\u92b7\u6bc0\u3002<\/li>\n<\/ol>\n<\/div>\n<div id=\"frm_field_106_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_t8hy6_label\" class=\"frm_primary_label\">\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_t8hy6_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_106-98-0\">\t\t\t<label  for=\"field_t8hy6-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[106][]\" id=\"field_t8hy6-0\" value=\"I have read and agree to the above notes. \u6211\u5df2\u95b1\u8b80\u53ca\u540c\u610f\u4ee5\u4e0a\u9644\u8a3b\u3002\"  data-sectionid=\"98\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"This field is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> I have read and agree to the above notes. \u6211\u5df2\u95b1\u8b80\u53ca\u540c\u610f\u4ee5\u4e0a\u9644\u8a3b\u3002<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Consent Form \u8a08\u5283\u540c\u610f\u66f8<\/h3>\r\n\r\n\r\n<div id=\"frm_field_104_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p>I understand and agree myself \/ my child to participate in this programme, and agree to the following terms of the Jockey Club Support for Young People with Diabetes Project:<br \/>\u6211\u660e\u767d\u548c\u540c\u610f\u4e0b\u5217\u8cfd\u99ac\u6703\u5e74\u8f15\u7cd6\u5c3f\u652f\u63f4\u8a08\u5283\u7684\u689d\u6b3e\uff0c\u4e26\u540c\u610f\u672c\u4eba\uff0f\u672c\u4eba\u5b50\u5973\u53c3\u52a0\u8a72\u8a08\u5283\uff1a<\/p>\n<ol>\n<li>Allergy or bleeding may occur on the applied site of CGM<br \/>\u660e\u767d\u4f7f\u7528\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u4e4b\u4f4d\u7f6e\u6709\u6a5f\u6703\u51fa\u73fe\u654f\u611f\u6216\u6d41\u8840\u7b49\u60c5\u6cc1<\/li>\n<li>I shall make good use of the given CGMs, otherwise I shall return the remaining unused CGMs to the Youth Diabetes Action. <br \/>\u540c\u610f\u5584\u7528\u7372\u8d08\u4e4b\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\uff0c\u5426\u5247\u6703\u628a\u9918\u4e0b\u6578\u91cf\u4ea4\u9084\u5230\u5152\u7ae5\u7cd6\u5c3f\u5354\u6703<\/li>\n<li>I agree that all CGM distributed by YDA are not to be used for commercial or resale purposes. <br \/>\u540c\u610f\u6240\u6709\u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u6d3e\u767c\u7684\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u5747\u4e0d\u53ef\u7528\u4f5c\u5546\u696d\u6216\u8f49\u552e\u7528\u9014<\/li>\n<li>I understand and agree to participate in surveys conducted by the Faculty of Medicine, The Chinese University of Hong Kong, for evaluating the benefits of the CGM<br \/>\u53c3\u8207\u9999\u6e2f\u4e2d\u6587\u5927\u5b78\u91ab\u5b78\u9662\u6240\u4e3b\u5c0e\u7684\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u6548\u76ca\u8a55\u4f30\u8abf\u67e5<\/li>\n<li>For the evaluation of the benefits of the usage of CGM, I agree that staff of YDA and delegated members of the study team of the Faculty of Medicine, The Chinese University of Hong Kong can access my\/ my child\u2019s CGM glucose data and relevant medical information for purposes of evaluating the effectiveness of CGM<br \/>\u6388\u6b0a\u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u8077\u54e1\u53ca\u9999\u6e2f\u4e2d\u6587\u5927\u5b78\u91ab\u5b78\u9662\u7cd6\u5c3f\u75c5\u7814\u7a76\u4eba\u54e1\uff0c\u53d6\u5f97\u672c\u4eba\u6216\u672c\u4eba\u5b50\u5973\u7684\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u7684\u8840\u7cd6\u6578\u64da\u53ca\u91ab\u7642\u8cc7\u8a0a\u4ee5\u8a55\u4f30\u4f7f\u7528\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u7684\u6548\u76ca<\/li>\n<li>Understand that Youth Diabetes Action is only responsible for the distribution of CGM. In case of technical issues with the CGM and other related tools or mobile applications, I will inquire with the manufacturer or supplier of the CGM<br \/>\u660e\u767d\u5152\u7ae5\u7cd6\u5c3f\u5354\u6703\u53ea\u70ba\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u7684\u6d3e\u767c\u55ae\u4f4d\uff0c\u5982\u9047\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u53ca\u5176\u4ed6\u6709\u95dc\u5de5\u5177\u6216\u667a\u80fd\u96fb\u8a71\u61c9\u7528\u7a0b\u5f0f\u7684\u6280\u8853\u554f\u984c\uff0c\u5c07\u5411\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u7684\u751f\u7522\u5546\u6216\u4f9b\u61c9\u5546\u67e5\u8a62<\/li>\n<li>Commitment of selected users<\/li>\n<\/ol>\n<ul>\n<li>Learn and follow the instructions for proper use of CGM to improve diabetes management\u00a0 \u5b78\u7fd2\u4f7f\u7528\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u4ee5\u6539\u5584\u7ba1\u7406\u7cd6\u5c3f\u75c5<\/li>\n<\/ul>\n<ul>\n<li>Attend CGM installation and training sessions by YDA\u00a0 \u51fa\u5e2dYDA\u8209\u8fa6\u7684\u9023\u7e8c\u8840\u7cd6\u76e3\u6e2c\u5100\u76f8\u95dc\u57f9\u8a13\u8ab2\u7a0b<\/li>\n<\/ul>\n<ul>\n<li>Attend HbA1c testing at YDA at the beginning, 6<sup>th<\/sup>, 12<sup>th<\/sup> and 24<sup>th<\/sup> month of the 2-year period of receipt of CGM, or submit proof from hospital\u00a0 \u5728\u8a08\u5283\u958b\u59cb\u3001\u8a08\u5283\u7684\u7b2c6\u3001\u7b2c12\u53ca\u7b2c24\u500b\u6708\u5230YDA\u9032\u884c\u7cd6\u5316\u8840\u7d05\u7d20\u6aa2\u67e5\uff0c\u6216\u63d0\u4ea4\u91ab\u9662\u7684\u5831\u544a<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<\/div>\n<div id=\"frm_field_105_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_94jmi_label\" class=\"frm_primary_label\">\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_94jmi_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_105-100-0\">\t\t\t<label  for=\"field_94jmi-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[105][]\" id=\"field_94jmi-0\" value=\"I agree to join the Jockey Club Support for Young People with Diabetes, By checking this box, I understand and will obey the above terms. \u6211\u540c\u610f\u53c3\u52a0\u300c\u8cfd\u99ac\u6703\u5e74\u8f15\u7cd6\u5c3f\u652f\u63f4\u8a08\u5283\u300d\u4e26\u660e\u767d\u53ca\u6703\u9075\u5b88\u4ee5\u4e0a\u689d\u6b3e\u3002\"  data-sectionid=\"100\"  data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"This field is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> I agree to join the Jockey Club Support for Young People with Diabetes, By checking this box, I understand and will obey the above terms. \u6211\u540c\u610f\u53c3\u52a0\u300c\u8cfd\u99ac\u6703\u5e74\u8f15\u7cd6\u5c3f\u652f\u63f4\u8a08\u5283\u300d\u4e26\u660e\u767d\u53ca\u6703\u9075\u5b88\u4ee5\u4e0a\u689d\u6b3e\u3002<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_2\" id=\"frm_page_order_2\" value=\"85\" \/><input type=\"hidden\" name=\"item_meta[48]\" id=\"field_jjpdw\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[168]\" id=\"field_8g1br-0\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[164]\" id=\"field_y8ihn\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[169]\" id=\"field_5lu65\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[170]\" id=\"field_s1b72\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[45]\" id=\"field_9kx2u\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[46]\" id=\"field_7dmt9\" value=\"\"     \/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__666a5b5847378\">\n\t\t\t\t<label for=\"frm_email_2\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_2\" type=\"text\" class=\"frm_verify\" name=\"frm__666a5b5847378\" value=\"\" autocomplete=\"off\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"5cjYmh4Acia5gZTBZ2oQk+\/5gK96cEanpUpHgYFEKPM=\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Next \u4e0b\u4e00\u9801<\/button>\r\n\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5898","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - 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