CMS New Patient Packets

All new dialysis patients receive the ESRD New Patient Orientation Packet. This packet is mailed directly to the patient after the Network receives and processes the CMS 2728 form. It contains valuable information and materials relevant to patient treatment and care.


It includes:


And the following CMS material:

In addition, The Renal Network, Inc. encourages every facility to supplement this information with a facility new patient packet that can be given to patients and their families soon after starting on dialysis. The facility new patient packet should include a copy of the facility patient rights and responsibilities as well as the facility grievance policy.









The Renal Network
911 E. 86th Street, Suite 202
Indianapolis, IN 46240
Phone: (317) 257-8265
Fax: (317) 257-8291
Patient Line:
1 (800) 456-6919
Email: [email protected]

Last updated on: September 19, 2014