E-mail the Kidney End-of-Life Coalition

Please use the form below to send us a message, but do not include any patient-specific information (names, Social Security numbers, DOB, etc.).  We are required to report all instances to the Centers for Medicaid & Medicare Services (CMS). 

If you are a patient, please do not use this form to contact us. Instead, please call us on our toll-free phone line at 866.651.6272.

Thank you for your understanding and cooperation.