HEF

DIALYSIS Resource Management Form

Agency Name(Required)

Evaluator Name(Required)

First Last

Evaluator Email(Required)

1. How long did it take your facility to determine the length of time it would take to get a water buffalo delivered to your site?(Required)

2. How long did it take your facility to determine the amount of time to get a building generator delivered to your site?(Required)

3. Where did you find vehicle resources to transport patients to your facility? What kind of vehicles did you find?(Required)