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Department of Health Services
Division of Quality Assurance Stage Renal Dialysis Units
Provider Directory
for Wisconsin
Listed in Order of County then Citric #
Vendor # Name
Provider # Type*
Address
FAC#
Beds
Region
1861507600
522539
ESRD3961871543355
523515
ESRD2851154415024
522320
ESRD2491942264759
522501
ESRD43281144590084
522552
ESRD97101629051990
522312
ESRD5821×Type
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How to fill out end stage renal dialysis
How to Fill Out End Stage Renal Dialysis:
01
Contact a healthcare professional or renal dialysis center: To begin the process of filling out end stage renal dialysis, it is necessary to reach out to a healthcare professional or a renal dialysis center. They will guide you through the necessary steps and provide you with the required forms.
02
Understand the medical history: Before filling out any forms, it is important to have a clear understanding of the patient's medical history. This includes details about their kidney function, any previous treatments, medications, and current health status. This information will help in accurately completing the forms.
03
Complete the necessary forms: The healthcare professional or renal dialysis center will provide you with the required forms to fill out. These forms typically include personal information, contact details, insurance information, and medical history. It is important to complete these forms accurately and provide all the necessary information.
04
Seek financial assistance: End stage renal dialysis can be expensive. If needed, seek financial assistance options available through the healthcare provider or renal dialysis center. This may include speaking to a financial counselor or exploring insurance coverage options.
05
Review and sign the forms: Once all the forms are completed, carefully review them for accuracy. Make sure that all the information provided is correct and complete. If there are any questions or concerns, it is crucial to seek clarification from the healthcare professional or renal dialysis center. Once reviewed, sign the forms and ensure that all required fields have been filled out.
Who needs end stage renal dialysis?
01
End-stage renal dialysis is typically needed for individuals with advanced kidney disease. This includes individuals whose kidneys have severely diminished function and are unable to filter waste products and excess fluid from the body effectively.
02
Common conditions that may lead to end-stage renal disease and necessitate dialysis include chronic kidney disease, diabetes, high blood pressure, polycystic kidney disease, and kidney damage due to other factors such as infections, medications, or autoimmune diseases.
03
It is essential to consult with a healthcare professional to determine if end-stage renal dialysis is necessary. They will evaluate the patient's medical condition, lab test results, and overall health status to determine the appropriate treatment option.
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What is end stage renal dialysis?
End stage renal dialysis is a medical treatment for patients with advanced kidney failure where a machine filters waste and excess fluids from the blood.
Who is required to file end stage renal dialysis?
Patients with end stage renal disease who are undergoing dialysis are required to file end stage renal dialysis.
How to fill out end stage renal dialysis?
End stage renal dialysis forms can typically be filled out by healthcare providers or patients with guidance from their healthcare team.
What is the purpose of end stage renal dialysis?
The purpose of end stage renal dialysis is to help patients with advanced kidney failure maintain proper fluid and electrolyte balance and remove waste from their blood.
What information must be reported on end stage renal dialysis?
Information such as patient demographics, dialysis treatment details, and laboratory results must be reported on end stage renal dialysis forms.
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