Please complete the following information for your facility.

Total In Center HD Patient Census

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* 2. Total In Center HD Patient Census

Has the project lead for this QIA changed since last submission?

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* 3. Has the project lead for this QIA changed since last submission?

Name of person completing this form:

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* 4. Name of person completing this form:

E-mail Address:

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* 5. E-mail Address:

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