Dialysis Clinic, Inc. - Camp Okawehna-Forms
DCI Emergency and Natural Disaster Hotline 866.424.1990
Confidential Compliance Hotline: 877-326-1109
DCI Patient Experience Feedback Line: 833-602-2199 or Patient.Experience@dciinc.org

Forms


Please choose the form that best suits your situation. The forms can be filled out digitally and submitted via email or printed and faxed. The information will not be saved once you close the screen.

 

Completed forms can be submitted by email to chelsea.lynch@dciinc.org 

or by fax to (615) 446-5283, Attn: “Camp O Processing Dept”  

  

Counselor Applications:   

DCI_COUNSELOR_APPLICATION_2024

RETURNING_COUNSELOR_APPLICATION_2024

NEW_COUNSELOR_APPLICATION_2024

 

Camper Applications:

TRANSPLANT_CAMPER_APPLICATION_2024

HEMO_CAMPER_APPLICATION_2024

PD_CAMPER_APPLICATION_2024

 

 

For more information, please contact:

John Hosford

Phone: (615) 327-3061
Email: CampO@dciinc.org