Registration - 5 Diamond Patient Safety Program

ALL USERS

Click here to access our new Job Aid

for help with getting started with registration,
log-in, checking summary status, and more, includes screen images.

**Fresenius (FMC) Users:**

Your clinic has been pre-registered by corporate. Click here to use the Forgotten Password link to access your account.

Your User Name is set to your clinic's email address (ex: clinic1234@fmc-na.com).

Questions? Contact your FMC program leads:

Denise Wright or Allison Leibowitz

Facility Information
Facility Name:
Ownership:		--Select One-- DaVita DCI Fresenius U.S. Renal Care Satellite Healthcare Other
Facility NPI #:
Total # of Staff (including MD, SW, & Diet):
Total # of Patients:
Please indicate if you prefer to view module tools & resources or if you plan to participate in the program for Diamond status:		--Select One-- View Only Participate for Diamond Status
User Information
First Name:
Last Name:
Phone Number:
Select a password Your email and password will allow you to login and access to module materials. Your password must contain a minimum of 6 characters, upper and lower case, and one of which must be a non-alpha-numeric character (example: Facility!)
Email Address:
Password:
Confirm Password:

By clicking submit, I certify that I am authorized to register my Facility for participation in the 5-Diamond Patient Safety Program. I also grant permission to include my facility in the listing of participants on this web site and in other program communications. I have also reviewed and agree with this web site’s privacy policy and terms of use.

Documents are presented in Adobe PDF

** ALL USERS**

Click here to access our new Job Aid

Please correct the below items to register.

Facility Information

User Information

Select a password

ALL USERS