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03/02/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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Gather all necessary documents such as medical history, insurance information, and identification.
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Fill out the registration form provided by the healthcare staff.
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Hoosier Hills Dialysis is typically needed by individuals with end-stage renal disease (ESRD) or advanced chronic kidney disease (CKD).
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Hoosier Hills Dialysis is a healthcare facility that provides dialysis treatment to patients with kidney failure or related conditions.
Patients who receive dialysis treatment at Hoosier Hills Dialysis are typically required to provide necessary documentation and information as part of their treatment process.
To fill out the necessary forms for Hoosier Hills Dialysis, patients should gather required medical information and insurance details, and then complete the patient registration forms provided by the facility.
The purpose of Hoosier Hills Dialysis is to provide life-sustaining treatment for individuals with chronic kidney disease, facilitating the removal of waste products from the blood when the kidneys are unable to do so.
Information that must be reported includes patient demographics, medical history, treatment plans, and insurance details.
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