Language
English (US)
Spanish (Latin America)
Online Kidney Support Community
Complete the form below to join an upcoming mentor-guided Zoom session. After registering, you’ll receive an email with the session details and video meeting link.
Name
*
First Name
Last Name
Are you currently matched with ReMend Mentor?
*
Please Select
Yes.
No.
Not sure.
Email
*
example@example.com
Phone (text/voice)
-
Area Code
Phone Number
For which session are you registering? (all pacific time)
*
Monday, August 3 at 10am hosted by Yari (English & Spanish)
Wednesday, August 5 at 6pm hosted by Kiku
Thursday, August 13 at 5pm hosted by Alex
Thursday, August 20 at 5pm hosted by Charmaine
Is there anything you’d like the Mentor to know ahead of time?
Age Range
*
18-24
25-34
35-44
45-54
55-64
65+
Where are you in your kidney journey?
*
Stage 3-4
Stage 5/preparing for dialysis
On dialysis now
Considering transplant/on waitlist
Post-transplant
Caregiver/Family Member
Prefer not to say
How did you hear about this session?
*
ReMend Mentor
Dialysis Clinic
Doctor, Clinic Staff
Friend/Family
Social Media
Email/Newsletter
Other
What topics would be most helpful right now? (choose any)
Understanding labs and what they mean
Food and nutrition basics
Dialysis: getting started / choosing a type
Transplant: evaluation, waitlist, living donation
Talking with doctors and feeling heard
Managing stress, fear, or burnout
Energy, fatigue, and daily life
Work, insurance, or practical resources
Supporting a loved one (for care partners)
Other
Required checkbox acknowledgements:
*
I will be respectful and help keep this a supportive space.
I will protect privacy (mine and others’) and not share what I hear outside the session.
I understand this session offers peer support and education—not medical advice.
I agree that ReMend may contact me about my registration and session details.
Submit
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