Dialysis Clinic, Inc. - Consent Forms
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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

The consent forms below are to be completed by any patient to be photographed, filmed or included in any sort of article or social media posting. Once a patient has completed a consent form, please keep one copy in the patient’s folder and fax a copy to information@dciinc.org.