Area Managers and Clinical Educators, please work with potential patient advocates to complete this form as the first step in getting them on-boarded. Once submitted, the Patient Advocate Manager will continue the on-boarding process. If you have any questions, please contact Vanessa Evans (vanessa.evans@fmc-na.com).

Requirements & Guidelines

  • Advocate must be on therapy for six (6) months.
  • Advocate must have reliable transportation to get to events.
  • Advocate must fit demographic and area needs.
  • Advocate understands that this is not meant to be a salaried position.
  • NxStage cannot guarantee number of speaking engagements scheduled.
  • Please only on-board one advocate at a time

Kidney-journey Bio

You will be asked to include a short 4-6 sentence personal kidney-journey bio about the potential kidney advocate along with a picture in the form. Below you will find an example of what this looks like:

“Bob was diagnosed with ESRD in October of 2003 after dealing with type 1 diabetes since he was 18 years old. He was in-center for eight years before he received a transplant in 2011. His transplant failed in 2016 and he went onto PD for one year before transitioning into HHD. He has been doing HHD with NxStage for two years now. His wife is his main care partner, and he gets help from his two sons when they are home from college. He now works part-time with Uber and loves spending time with his dogs and family.”

On-boarding Form

APM3603 Rev. B