Dialysis Communication Form - Nursing home use only—upon return to facility following dialysis. If at the facility level: This material was prepared by ipro and adapted by alliant. Enter the name of your facility and check “yes” in the appropriate condition areas. Between nursing/personal care/assisted living facility and dialysis facility side 2:
If at the facility level: This material was prepared by ipro and adapted by alliant. Enter the name of your facility and check “yes” in the appropriate condition areas. Between nursing/personal care/assisted living facility and dialysis facility side 2: Nursing home use only—upon return to facility following dialysis.