2017 Medical Review Board Nomination Form

Heartland Kidney Network/ESRD Network 12

This nomination is for a three-year term of elected office on the Medical Review Board of ESRD Network 12, covering the states of Missouri, Kansas, Iowa and Nebraska.
• Term begins January 1, 2018
• Term Ends December 31, 2020

The Medical Review Board (MRB) is the primary working committee of Heartland Kidney Network. The MRB members use their expertise to advise the Network on clinical questions, quality improvement activities and grievance resolution.

The deadline to submit nominations is Friday, November 24, 2017.

(choose one option only):

You may also email your CV or resume to Debbie Ulm, ESRD Program Manger, Heartland Kidney Network, at dulm@nw12.esrd.net

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