The Rogosin Institute

 

Dialysis Patient Forms


For social workers or administrators coordinating transient dialysis at Rogosin,
please download forms, complete and fax back to social worker at dialysis center.
Social workers can download the forms for transient patients here.

Transient /Transfer Dialysis Patient Forms
Form 1: Patient History
Form 2: Intake Information
Form 3: Current Medical Information
Form 4: Request for Transient Dialysis Treatment
 

#3 Ranking
Rogosin Kidney Center is a major contributor to #3 ranking of NYPH in kidney disease.

Transplant Milestone
3,000th kidney transplant performed at Transplant Center. More transplants possible because of new incompatible donor programs. 

Transplant Lab
Rogosin's Immunogenetics & Transplant Lab performs increasing numbers of tests for major transplant centers in New York City area.