Coordination documents

Holiday dialysis gives you the opportunity to visit other NephroCare dialysis  centres for treatment while you enjoy the freedom to travel. When you request our coordination support, the Holiday Dialysis coordination centres provide three types of documents to you which ensure the smooth operation of the coordination service for you.  

The Patient Information and Data Consent Form defines the processing and storage of your personal data, since Fresenius Medical Care places great importance to comply with privacy regulations.   The List of Coordination Centres  summarizes all Holiday Dialysis coordination centres, so you can directly check where and how their data is stored.  

The Coordination of Holiday Dialysis Treatments – General Terms and Conditions includes all service duties of our Holiday Dialysis coordination centres and define the mutual responsibilities throughout the coordination process.  

Before we can start the coordination service for you, our Holiday Dialysis  coordination centre needs the Patient Information and Data Consent Form and the Coordination of Holiday Dialysis Treatments – General Terms and Conditions signed by you.  

In order to successfully support the coordination with a Holiday Dialysis centre, your medical record needs to be transferred from your home center to the centre at your Holiday Destination. The important treatment and medical information are summarized in the Holiday Dialysis Request. Please include the requested information with the support of your nephrologist at your home centre.

Patient information and data consent formpdf (145 KB)
Coordination of Holiday Dialysis treatments General Terms and Conditionspdf (151 KB)
Holiday Dialysis Request EN/ES/DEpdf (580 KB)
Holiday Dialysis Request EN/FR/ESpdf (578 KB)
Holiday Dialysis Request EN/IT/RUpdf (597 KB)