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
 

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#4 Ranking
Rogosin Kidney Center is a major contributor to #4 ranking of NYPH in kidney disease.

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

The Rogosin Institute is the premier not-for-profit medical treatment and research institution for kidney disease, including dialysis and transplantation, in New York City. Its skilled staff includes dedicated physicians who can provide the best and most comprehensive treatment for your kidney disease.

Kidney Disease | Dialysis | Kidney Transplants | Cholesterol/Lipid Disorders | Hypertension | Kidney FAQs

The Rogosin Institute
505 East 70th Street, New York, NY 10021
Phone: (212) 746-1552
Fax: (212) 288-8370


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Affiliated with NewYork Presbyterian Hospital
and Weill Cornell Medical College

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