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Facility Closure Form

Communications Forms for Hospital - Dialysis Unit

Dialysis Center Report to Hospital Infection Preventionist

Hospital Infection Preventionist Report to Dialysis Center

AttachmentSize
PDF icon hospital_ip_to_dialysis_form.pdf343.84 KB
PDF icon dialysis_to_ip_form.pdf362.27 KB
Publication Date: 
Friday, August 17, 2018
Tags: 
infection control
Transitions of Care
Patient Safety
Resource Categories: 
Infection Control

Midwest Kidney Network

1360 Energy Park Drive, 

Suite 320

St. Paul, MN 55108

(800) 973-3773 For Patients

(651) 644-9877 For Providers

(651) 644-9853 Fax

info@midwestkidneynetwork.org

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Please do not send patient-specific data (name, SSN, DOB, etc.) to Midwest Kidney Network via email as this is a CMS Security Violation and will be reported as such. You may only use the EQRS ID/UPI # when referencing a patient via email message to Midwest Kidney Network.