New ESRD Facility - Network Membership Request Form

New ESRD Facility - Network Membership Request Form

As provided in the ESRD Federal Regulations, Section 405.2134, the facility agrees To: (1) Provide representation to the Council; (2) Participate in the activities of the Council; (3) Provide data to the Council and the Medical Review Board; (4) Participate in Medical Review Board Studies; and (5) Pursue Council Goals. The facility shows its willingness to participate by requesting membership.