AAKP HealthLine - Reclaiming Your Energy - Sleep, Exercise, and Everyday Wellness for Kidney Patients

Please complete the below form to register for the upcoming AAKP HealthLine webinar, "Reclaiming Your Energy: Sleep, Exercise, and Everyday Wellness for Kidney Patients" on January 28th from 3:00-4:00 pm Eastern Time (ET). You will receive an email from AAKP within 24 hours of the scheduled webinar with details on how to join.

*1.Please complete the following: (Required.)

First Name

Last Name

Email Address

2.Mailing Address

Street Address or P.O. Box

Apt., Suite, Building, etc.

*3.City(Required.)

*4.State/Province(Required.)

*5.Zip Code / Postal Code(Required.)

6.Country

7.Phone Number

8.Do you have any questions or comments for the webinar speakers?

9.Are you a:

CKD patient (not on dialysis)

In-center hemodialysis patient

Home hemodialysis patient

Peritoneal dialysis patient

Kidney transplant recipient

Living kidney donor

Family member/care partner

Health care professional (e.g., physician, social worker, nurse, dialysis technician, etc.)

Academia/Researcher

Private Sector/Industry Representative

Non-Profit Advocacy Organization

Non-Profit Professional Organization

Federal Agency Representative

Legislative/Congressional Representative

Reporter/Media

Other - please comment

Thank you for registering for the upcoming AAKP HealthLine webinar. You will receive an email from AAKP within 24 hours of the scheduled webinar with details on how to join.

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