To book your dialysis treatment we require some of your medical information and your current blood results for electrolytes, full blood count, HIV, Hepatitis B and C status. Simply download the forms below for all the details and you will find a complete checklist included in the paperwork. To avoid disappointment BIMC Hospital Dialysis Centre advises to return the paperwork at least 4-6 weeks in advance of your travel schedule.
Download the booking information now: Welcome letter/Traveling dialysis form
- Simply return the completed form with the requested documents and notify us of the dates and times you wish to dialyze at BIMC Hospital Dialysis Centre
- We will accommodate your scheduling preferences wherever possible. Payment options are available through bank transfer or credit card
- Dialysis Centre Contact details: Phone (+62 361) 3000 911 or Skype (+62 361) 3000 911 FREE and Email : firstname.lastname@example.org