Contact Us
We welcome your feedback on our website and your requests for technical
assistance, information and educational materials.
Please
click here to contact us by email.
Southern California Renal Disease Council, Inc.
6255 Sunset Boulevard, Suite 2211
Los Angeles, CA 90028
(323) 962-2020
(323)962-2891/fax
For department specific inquiries you may refer to the list below.
Administration:
- Facility Membership Application
- Facility Information Form (FIF) Changes and/or Corrections
- Facility Membership Agreements
- Request QI Manual
- CMS Data Reports
Quality Improvement/Patient Services:
- QI Issues and/or Questions
- Clinical Perfomance Measures
- CQI Workshops
- QI Projects
- Infection Control Issues
- Grievances
- Vocational Rehabilitation
- Advance Healthcare Directives
- Educational Materials
- Challenging Patient Management
Data/Information Services:
- Accuracy and Compliance
- Annual ESRD Facility Surveys (CMS-2744)
- ESRD Death Notifications (CMS-2746)
- ESRD Medical Evidence Report Form (CMS-2728)
- Network Patient Activity Report (PAR)
- Patient Status Update Report
- Patient Address Changes
- CMS-2728 Copy Requests
