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User Registration

Thank you for your interest in the MyKidney Research (MKR) Portal. Your participation in research helps improve patient care, clinical outcomes, and bring new therapies to market. By signing up, you will be invited to participate in opinion research studies with DaVita Clinical Research (DCR). Some studies may be paid. You will also receive news articles and other health information of interest.

By completing this enrollment form, you provide consent that:

DCR may use the personal and health information you provide to determine if you may be eligible to participate in a research study.
DCR may contact you about studies via phone, text, and/or email.

If you have questions or no longer wish to participate, please email MKRportal@davita.com

Do You Agree(Required)

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Name(Required)

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Email(Required)

Enter Email Confirm Email

Username(Required)

Password(Required)

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A strong password includes: At least 20 characters including lowercase and uppercase letters, numbers and special characters such as `!"#$%&'()*+,-./:;<=>?@[]^_{}|~`

Date of Birth(Required)

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Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Mobile Phone(Required)

Are you a chronic kidney disease (CKD) patient(Required)

Yes

No

Are you currently being treated by a nephrologist?(Required)

Yes

No

Are you currently on dialysis(Required)

Yes

No

Do you have diabetes(Required)

Yes

No

Do you have high blood pressure (hypertension)(Required)

Yes

No

Are you a caregiver to a patient on dialysis(Required)

Yes

No

Are you a caregiver to a patient with CKD(Required)

Yes

No

Do you have a care partner?(Required)

Yes

No

Does not apply to me

Are you currently being treated by a nephrologist?(Required)

Yes

No

Does not apply to me

Where do you/your patient do dialysis?(Required)

At a clinic

At home using peritoneal dialysis (PD)

At home using home hemodialysis (HHD)

Does not apply to me

Have you ever done dialysis: (select all that apply)(Required)

At a clinic

At home using peritoneal dialysis (PD)

At home using home hemodialysis (HHD)

Does not apply to me

How long have you/your patient been on dialysis?(Required)

Less than 6 months

6 to 12 months

1 to 2 years

3 to 5 years

6 years or more

Does not apply to me

Are you:(Required)

Male

Female

Non-binary

Prefer not to answer

What is your race?

(Check all that apply)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

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Are you currently:(Required)

Married

Divorced

Widowed

Living with a partner

Single, never married

Prefer not to answer

What is the highest level of education you have completed:(Required)

High school or less

High school diploma or GED

Associates degree

Bachelor's degree

Master's/professional degree or Ph.D.

Trade School

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Do you give DCR permission to send you text messages? Messaging and data rates may apply depending on your service.(Required)

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No

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