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Patient Identification Cards

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This dialysis patient identification card can assist patients with having critical information on-hand in case of an emergency. This is not a substitute for medical records. This is basic information to help the patient and dialysis provider locate information in case of an emergency. If you must evacuate to another area, unable to return home, or your regular dialysis unit is inaccessible due to a disaster, this identification card can provide basic information to first responders and to a receiving dialysis treatment facility.

Fill in the blanks with the most current information. Carry this identification card with you at all times, in your wallet or purse. It is also important for dialysis facilities to communicate to local emergency management agency about the importance of recognizing dialysis patients in local disaster.

Fillable/Printable Patient ID Card

Spanish Fillable/Printable Patient ID Card