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Toll Free Fax – 888-213-5733
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Abuse in the provision of dialysis in the U.S. is rampant and well-documented.

Don’t be a victim!

TESTIMONIAL

I Feel like I was getting DIE-alysis at DAVITA, BUT now the last four years I’m really getting my Dialysis treatment as it should be, and feeling better at my local Hospital.

- Larry

Forms

There are no fees for our help.

We are not affiliated with the RENAL industry, we are a pending non-profit dedicated to helping Dialysis patients and their family who are having problems with their care.

If you need assistance you can download these forms.

Click on each form; once it opens right click on it select Save As and save to your desk top. You can then print and fill it out. Once filled out you can fax it to 888-213-5733 or scan and email to:

arlene-mullin@dialysisadvocates.com

Form for assistance: advocasy-form

Guide: guide-for-filling-forms

Example: example-filled-form.

Due to HIPPA laws we cannot assist you until the form has been filled and signed.

 

 

 

 

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   •   COPYRIGHT DIALYSIS ADVOCATES 2012   •   DESIGN BY J.S. COLLARD DESIGN