Request Dialysis Treatment

You are requesting treatment at:

Spivey Peritoneal And Home At Home
7444 Hannover Pkwy S
Stockbridge, GA 30281-7847

Phone: 1-800-424-6589
Fax: (770) 389-9432

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.

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."

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Travel Information


* For placement within the next 7 days, please call 1-800-244-0680. This form requires a minimum of 7 days notice.



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Your Information

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Patient Information


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Patient Home Facility Information


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Treatment Information


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Additional Information

Patients whose dialysis is impacted by Hurricane Harvey or Hurricane Irma should call 1-800-400-8331.

DaVita dialysis centers and hospital locations in impacted areas continue to receive and treat patients. Find an open center here: blogs.davita.com/emergency-management