Request Dialysis Treatment at DaVita Loomis Road Dialysis
You are requesting treatment at:
DaVita Loomis Road Dialysis
4120 W Loomis Rd, Greenfield, Wi 53221-2052
Phone: 1-800-424-6589
Fax: (414) 761-4926
If you need dialysis treatments within the next 7 days, call 1-800-244-0680 and a Guest Services Contact Center Teammate will assist you. Otherwise, if you have more than 7 days to plan, complete this form in its entirety. Please have your destination address and or zip code available before you begin. This information is required in order to find the closest available facility to your destination.
Note: You only need to submit this form once per arrival date. If we can't find availability at this particular center on the date you requested, we will try to find the closest available center.
Important note for Peritoneal Dialysis patients: If you're wishing to travel and would like a back-up facility call 1-800-244-0680.
Thank you!
All fields are required unless marked "optional."
DaVita Loomis Road Dialysis 4120 W Loomis Rd, Greenfield, Wi 53221-2052
Phone: 1-800-424-6589 Fax: (414) 761-4926
If you need dialysis treatments within the next 7 days, call 1-800-244-0680 and a Guest Services Contact Center Teammate will assist you. Otherwise, if you have more than 7 days to plan, complete this form in its entirety. Please have your destination address and or zip code available before you begin. This information is required in order to find the closest available facility to your destination.
Note: You only need to submit this form once per arrival date. If we can't find availability at this particular center on the date you requested, we will try to find the closest available center.
Important note for Peritoneal Dialysis patients: If you're wishing to travel and would like a back-up facility call 1-800-244-0680.
Thank you!
All fields are required unless marked "optional."