Definition and Classification of Chronic Kidney Disease

Speaker's Guide

Based on the KDIGO 2012 CKD Guidelines

All fields are required unless otherwise noted.

* First Name:
* Last Name:
* Organization / Affiliation:
* Office Address:
A street address is required. No PO Boxes please.
 
* City:
* State:
Country:
* Zip:
* Email:
* Office Phone:
* Designation / Credentials: MD
NP
PA
RN
CHT
RD
PharmD
CSW
Other:
* Specialty:
If you selected other, please enter your specialty:
* Please describe your practice:
  CKD clinic
Private practice
Other:
* Setting:
  Academic
Clinical
Hospital
Other:
* Approximately how many patients do you see per week?
  0-25
26-50
More than 50
* Approximately how many CKD patients do you see per week?
  0-25
26-50
More than 50