Coordinator Details

If you’re a patient and you have secured provisional treatment slots, you don’t need to worry whether or not the centres are registered. You can use this form to give us the details of the coordinators. We’ll check and contact the relevant people  to  get the trip set up on Dialysis Away your behalf.  If you have secured the slots through a booking engine or travel intermediary, we will need the details of the coordinators themselves, as intermediaries do not deal with medical details; the clinics need to exchange required details directly between them