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Health Status Release Form Now Available Online!

Health Status Release Form Now Available Online!

In partnership with Network Patient Representatives and Patient Advisory Committee members, the Network has developed the new Health Status Release Form. Due to HIPAA privacy laws, dialysis team members are unable to discuss the health status of a patient with their fellow patients, such as when they are hospitalized or if they should pass away.

This form puts that power in the hands of the patient to decide  who they would  to have informed if their health status should change. Print this form for each of your patients and make a copy for their medical record. However, it is recommended by patients to not approach new patients with this form until after they have reached the six month mark. That way it is not as overwhelming and they have had time to realize the relationships that can build among fellow patients. 

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