Staff will respond to your inquiry within 48 hours.
A chronic dialysis clinic provides less than 24-hour care for the treatment of patients with end stage renal disease including renal dialysis services.
In addition to the forms below, you are required to submit additional documents for a change of ownership (CHOW) plus information regarding your Business Plan. These documents must be submitted with your completed application. The required information and instructions are listed on the checklist contained in the Chronic Dialysis Clinic (End-Stage Renal Disease) Application Request Letter and Instructional Checklist.
Transfer Agreement Between: HS 602 (PDF)