Forms

  1. Data submission to NRR is a requirement by Private Healthcare Facility Act 1998.
  2. Notice of forms received will be sent to email of the centre, manager and coordinator.
  3. This will be a proof of participation of centre for the assessment year.
  4. Update new patients and reporting patient’s outcome. Please DO NOT wait until year end. To facilitate VERIFICATION OF INFORMATION, your checking of your centre’s patient list OF RESPECTIVE CENTRE(S) are available and ACCESSIBLE on-line.

Haemodialysis Forms

# Forms
Borang hantaran bila-bila masa dalam tahun tafsiran:
01. Dialysis Patient Notification
Dialysis Patient Notification – untuk pendaftaran pesakit baru atau pesakit yang kembali ke pusat.
Download
02. Dialysis Outcome Notification
Dialysis Patient Outcome Notification –untuk melaporkan ‘Outcome’ pesakit.
Download
Borang hantaran bagi setiap pesakit pada akhir tahun tafsiran:
03. Haemodialysis Annual Return
Work-Related Rehabilitation and Quality of Life Assessment of Dialysis and Transplant Patients
Download

Peritoneal Dialysis Forms

# Forms
Borang hantaran bila-bila masa dalam tahun tafsiran:
01. Dialysis Patient Notification – untuk pendaftaran pesakit baru atau pesakit yang kembali ke pusat. Download
02. Dialysis Outcome Notification – untuk melaporkan ‘Outcome’ pesakit. Download
03. Peritoneal Dialysis Infection Event Reporting – untuk laporkan jangkitan rawatan PD
Peritoneal Dialysis Annual Return
Work-Related Rehabilitation and Quality of Life Assessment of Dialysis and Transplant Patients
Download

Renal Transplant Forms

# Forms
Borang hantaran bila-bila masa dalam tahun tafsiran:
01. Renal Transplant Notification – untuk pendaftaran pesakit baru atau pesakit yang kembali ke pusat. Download
02. Renal Transplant Outcome Notification – untuk melaporkan ‘Outcome’ pesakit. Download
Borang hantaran bagi setiap pesakit pada akhir tahun tafsiran:
03. Renal Transplant Annual Return
Work-Related Rehabilitation and Quality of Life Assessment of Dialysis and Transplant Patients
Download

eNRR/MyKAS Centre And User Registration

Please click here to go to the eNRR/MyKAS Centre and User Registration Form download page