Application Forms

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                                        TERMS AND CONDITIONS FOR ADMISSION INTO NKF HEMODIALYSIS PROGRAMME


a. Applicant is a Malaysian citizen.
b. Applicant is 18 years and above.
c. Applicant is ambulant (able to move about independently).
d. Applicant has suitable functional vascular access.
e. Applicant has no other recourse to regular haemodialysis.
f. Applicant is prepared to appear before the Patient Selection and Welfare Committee of NKF prior to being considered for the programme.
g. Applicant must agree to visit to his/her home by the Welfare Manager/Officer or an Officer nominated by the NKF with a view to verifying all information given.
h. Applicant is prepared to pay treatment fee of RM90.00 per dialysis session on admission until the approval of government subsidy of RM50.00 per dialysis session is given by the Ministry of Health (MOH). NKF will henceforth charge RM40.00 per dialysis session. 
i. Applicant is prepared to pay an advance of RM270.00 for a week's treatment payable on the first session of each week before approval of government subsidy of RM50.00 per dialysis is given and an advance of RM120.00 payable on the first session of each week after approval from the Ministry of Health (MOH).
j. Applicant may seek asssitance rom the Centre Manager/Staff Nurse In-Charge of the Dialysis Centre to apply for the government subsidy of RM50.00 from Ministry of Health.
k. Applicant is prepared to pay treatment fee as stated above. This fee is subject to change by the NKF as and when it deems necessary. This amount is payable prior to treatment.
l. Applicant who fails to obtain the subsidy approval from MOH will have to pay RM90.00 per dialysis while his appeal is referred to MOH for reconsuderation. If the appeal to MOH is rejected, the case will be referred to the Patient Selection and Welfare Committee of NKF for its final decision to allow the patient to continue dialysis or terminate his dialysis treatment in NKF.
m. The selected patient must be willing to undergo 4 hourly dialysis 3 times a week at NKF Dialysis Centre at the dates and times fixed by the Centre.
n. The patient shall be reviewed by NKF Welfare Manager/Officer as and when necessary at the discretion of NKF with regard to his/her suitability to continue the haemodialysis programme by regular payment of his/her dialysis fees.
o. No visitor are allowed into the Dialysis Centre without the consent of the Centre Manager/Staff Nurse In-Charge of the Centre.
p. The patient must be willing to sign an agreement with the NKF before commencing the dialysis programme. 
q. One or two guarantors (as determined by NKF) are required to undertake financial support with regards to the patient's payment of dialysis fees in the event of the patient's failure to pay his/her dialysis fees.
r. The witness to the patient's signature should not be the spouse, sibling, children and parents of the patient or staff and partners of NKF.