Cockermouth, Cumbria 01900 822 888

Bookings

Making an online dialysis enquiry is quick and easy.

Before you start you'll need the following:

Personal details and address
A good idea of the date of the dialysis sessions required
Hospital details
Information relating to your next of kin

Login

Online Dialysis Enquiry - Step 1

Please indicate your patient status

A new patient
An existing patient

Sessions

Online Dialysis Enquiry - Step 2

You now need to indicate how many dialysis sessions you will require over the course of your visit;

Number of dialysis sessions required

Dates

Online Dialysis Enquiry - Step 3

Please choose your preferred dialysis dates and times. Your choice of date/time may not be available, we will send you an email or call you directly to confirm the dates and times of your dilaysis sessions. Please note that although we endeavour to meet the dialysis times requested these times cannot be 100% guaranteed. Days which are unavailable due to us being fully booked or at weekends are shown with a cross on the date chooser, please choose an available date;

Dialysis Session 1

Select a Date *

Select Morning or Afternoon *

Select a Time *

Personal

Online Dialysis Enquiry - Step 4

Please note: We require a password so that you can login to our existing patients area and view all your current bookings.

How do you want your bookings to be confirmed?

Title

Forename *

Surname *

Date of Birth * (dd-mm-yyyy)

Address *

Town/City

Postcode *

Telephone *

If you would like to create an online account please complete below;

Password

Password Confirm

Next of Kin

Online Dialysis Enquiry - Step 5

Please enter the details for your next of kin;

Name *

Relationship *

Address *

Town/City

Postcode *

Telephone *

Hospital

Online Dialysis Enquiry - Step 6

Please enter the details for your hospital;

Name *

Address *

Town/City

Postcode *

Telephone *

Nurse Contact

Thank you for entering your details.
Please confirm your enquiry by clicking the 'submit' button below.