Membership Request Form
Thank you for your interest in the Coalition for Supportive Care of Kidney Patients. If you would like to join the Coalition, please complete the form below. You will be alerted by email when your membership has been accepted.
Coalition for Supportive Care of Kidney Patients | George Washington University School of Nursing
Phone: 202.994.7969 Email:
What type of membership are you applying for?
Affiliation (please select all that apply)
Patient with Kidney Disease
Nurse Practitioner/Physician's Assistant
What is your purpose for joining the Coalition
To learn more about chronic kidney disease
To learn how supportive/palliative care can improve outcomes for kidney patients
To grow my network of like-minded individuals who want to improve renal care
To connect with others for the purpose of research
To make a difference
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