Designation of a Representative

Wednesday, December 11, 2013 | By Scott | No Comments

If a dialysis patient has a complaint or grievance, and needs assistance from Dialysis Advocates in mediating your situation, you will need to fill out a DESIGNATION OF A REPRESENTATIVE form and designate Arlene Muller-Tinker of Dialysis Advocates as your representative and advocate so the clinic or organization can share your records with her and possibly the appointed council.

Download and view the Designation of a Representative form

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