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Get the free ESRD Treatment Choices (ETC) Model - physicians northernhealth

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Last Name: First Name (Preferred Name): the northern way of caringEncounter number:NH Number:Date of Birth:UH NBC Renal Clinic All Sites and FacilitiesGender:Age:Responsibility for Payment:Standing
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ESRD Treatment Choices is a program designed to help patients with End-Stage Renal Disease (ESRD) understand their treatment options, including dialysis and kidney transplantation.
Patients who are diagnosed with ESRD and are applying for Medicare benefits are required to file ESRD Treatment Choices.
To fill out the ESRD Treatment Choices form, patients need to provide personal information, select their preferred treatment option, and complete any required documentation to submit to Medicare.
The purpose of ESRD Treatment Choices is to ensure that patients are informed about their treatment options and to facilitate access to various therapies available for managing ESRD.
The information that must be reported includes patient demographics, treatment preferences, medical history, and relevant consent forms.
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