NW4 2018 Dialysis Event Training

Facility Information

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Reporting Month:
--Select Month--

Contact Information

Facility Contact First Name:
Facility Contact Last Name:
Facility Contact Email:

Dialysis Event Reporting

Dialysis Event Training was completed for this facility on:
Open the calendar popup.
I have a printed copy of the certificate of completion:
Note: Network 4 will randomly select a few facilities each month to submit the certificate of completion