ReMend Online Kidney Support Community Registration

Online Kidney Support Community Registration

Complete the form below to join an upcoming, mentor-guided session via Zoom. You will receive an email with the session information including a link to the video meeting.
Name*

First NameLast Name
Are you currently matched with ReMend Mentor?*
Email*
example@example.com
Phone (text/voice)

Area CodePhone Number
For which session are you registering? (all pacific time)*

Monday, March 9 at 10am - Spanish & English hosted by YariThursday, March 19 at 5pm hosted by AlexMonday, April 6 at 10am hosted by JaceeThursday, April 16 at 5pm hosted by Tim
Is there anything you’d like the Mentor to know ahead of time?
Age Range*

18-2425-3435-4445-5455-6465+
Where are you in your kidney journey?*

Stage 3-4Stage 5/preparing for dialysisOn dialysis nowConsidering transplant/on waitlistPost-transplantCaregiver/Family MemberPrefer not to say
How did you hear about this session?*

ReMend MentorDialysis ClinicDoctor, Clinic StaffFriend/FamilySocial MediaEmail/NewsletterOther
What topics would be most helpful right now? (choose any)

Understanding labs and what they meanFood and nutrition basicsDialysis: getting started / choosing a typeTransplant: evaluation, waitlist, living donationTalking with doctors and feeling heardManaging stress, fear, or burnoutEnergy, fatigue, and daily lifeWork, insurance, or practical resourcesSupporting 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.
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