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Get Dci Consent Form - Dialysis Clinic, Inc.
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How to fill out the DCI Consent Form - Dialysis Clinic, Inc. online
Filling out the DCI Consent Form is an important step in authorizing the use of your image and information for educational purposes. This guide provides clear instructions to help you navigate the online form with ease.
Follow the steps to successfully complete the DCI Consent Form online.
- Press the ‘Get Form’ button to acquire the form and open it in your online interface.
- Begin by entering your name in the designated section, ensuring accuracy in spelling.
- Provide the name of the Dialysis Clinic, Inc. location where you receive treatment.
- Read the section detailing the purposes for which your image and information may be used. Make sure you understand each intended use.
- Indicate your consent by signing in the designated area, confirming that you agree to the terms outlined.
- Print your name clearly under the signature line as an affirmation of your consent.
- If applicable, provide the name and date of your personal representative, if you are not signing for yourself.
- Finally, save your changes, download the completed form, and consider printing it for your records.
Complete your DCI Consent Form online today to ensure your participation in important educational opportunities.
Founded in Nashville, TN in 1971, we now have more than 250 outpatient dialysis clinics in 30 states. DCI employs approximately 5,000 people and serves over 15,000 dialysis patients.
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