DialysisIndex

You will find all the forms that you need to make a dialysis booking below. All forms are in an easily printable MS Word format

Document Title	Description	Last Modified	Download
Booking Form New	This is the initial form to submit so that we can find you a suitable booking date and get your initial details. This form must be returned 4 weeks prior to the intended dialysis session. You can either download and fill out this form, or much easier, use our fast and efficient enquiry system	01/02/2008	Download here
Terms & conditions	To read our terms and conditions in the event of a cancellation please download this form	01/02/2008	Download here
Payment authorisation form	Your dialysis payment must be authorised. Please submit this form prior to dialysis	01/02/2008	Download here
medical infomation	We require additional informationabout your mobility, blood and MRSA results	01/02/2008	Download here
Dialysis Prescription form	This gives us the information we require in oreder to carry out your dialysis treatment	01/02/2008	Download here

Telephone : 01900 822 888