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Bridges Dialysis Intake Form to arrange vacation treatments

Bridges Dialysis Intake Form

Kindly coordinate with your nephrologis/dialysis care team to have this intake form completed and submit it along with the other required items listed here.  You may email or fax back this information. 

Please do not mail the forms as they may not arrive in time for your scheduled vacation.  Thank you!

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Tel: 758-572-7800

© Bridges Dialysis 2023

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Vieux Fort, Saint Lucia, West Indies

Alternate Phone Numbers:
U.S.A.   646-992-9422         
Canada   647-366-6462         
International   833-333-4037

New!  Connect with your Dialysis Team
on Whatsapp  758-286-8088

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