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Get the free CHRONIC KIDNEY DISEASE DVD ORDER FORM - dhs wisconsin

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This document is an order form for an educational DVD on chronic kidney disease prevention, aimed at educating individuals at risk due to diabetes, high blood pressure, or family history.
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How to fill out CHRONIC KIDNEY DISEASE DVD ORDER FORM

01
Obtain the CHRONIC KIDNEY DISEASE DVD ORDER FORM from the appropriate source (doctor's office, hospital, or online).
02
Fill in the patient's personal information, including name, date of birth, and contact details.
03
Select the appropriate diagnosis or treatment option related to chronic kidney disease from the provided list.
04
Include any relevant medical history or physician's notes as required by the form.
05
Double-check the information for accuracy before submission.
06
Submit the completed form to the designated office or online submission portal.

Who needs CHRONIC KIDNEY DISEASE DVD ORDER FORM?

01
Patients diagnosed with chronic kidney disease who may benefit from educational resources.
02
Healthcare providers who need to order DVDs for patient education.
03
Family members of patients seeking information about chronic kidney disease management.
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Chronic kidney disease is a disease characterized by progressive damage and loss of function in the kidneys. It's estimated that chronic kidney disease affects about one in seven American adults. And most of those don't know they have it.
There's no cure for chronic kidney disease (CKD), but treatment can help relieve the symptoms and stop it getting worse. lifestyle changes – to help you stay as healthy as possible. medicine – to control associated problems, such as high blood pressure and high cholesterol.
Other causes and conditions that affect kidney function and can cause chronic kidney disease include: Glomerulonephritis. This type of kidney disease involves damage to the glomeruli, which are the filtering units inside your kidneys. Polycystic kidney disease.
Chronic Kidney Disease Treatment. FARXIGA® (dapagliflozin) For adults with chronic kidney disease (CKD), FARXIGA is a prescription medicine approved to reduce the risk of further worsening of kidney disease, end-stage kidney disease, death due to cardiovascular disease, and hospitalization for heart failure.
KERENDIA is for. your kidneys and. your heart. KERENDIA is proven to slow the progression of chronic kidney disease (CKD) in adults with type 2 diabetes (T2D) and lower the risk of cardiovascular complications like heart attack, cardiovascular death, and hospitalization for heart failure.
All people with CKD should first be prescribed an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB).

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The CHRONIC KIDNEY DISEASE DVD ORDER FORM is a document used to request educational materials related to chronic kidney disease, specifically in DVD format.
Healthcare professionals, such as nephrologists or primary care doctors, may be required to file the CHRONIC KIDNEY DISEASE DVD ORDER FORM to obtain resources for patient education.
To fill out the CHRONIC KIDNEY DISEASE DVD ORDER FORM, provide necessary information such as your name, contact details, the number of DVDs requested, and any specific needs regarding the materials.
The purpose of this form is to facilitate the distribution of educational DVDs about chronic kidney disease to healthcare providers for the benefit of their patients.
The information that must be reported includes the requester's name, contact information, the quantity of DVDs requested, and any relevant details about the intended use of the DVDs.
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