Request Form - CMS Standards Whitepaper

Need Dialysis Water Treatment for 3-6 Patient Stations?

Learn how to comply with the latest AAMI and CMS conditions of coverage for 3-6 patient stations.

Complete the form below to receive this free white paper.

The Mini-Central from AmeriWater

Small footprint. Energy & water efficient.

Competitive price.

Ideal for acute dialysis, nursing homes

and correctional facilities.

Check the ballot below to learn more.

*Required information

Name: *
Title:
Facility Name: *
Phone Number: *
Fax Number:
Address: *
City: *
State or Province: *
Postal (Zip) Code: *
Country: *
Email Address: *
Verify Email Address: *
I am a Ameriwater Customer: *	Yes No
I would like additional information on water quality solutions for all of the following:	1-2 Dialysis Patient Stations 3-6 Dialysis Patient Stations 6 + Dialysis Patient Stations
Any additional questions or comments?
Type the word to the right: *

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Dayton, Ohio 45404
Phone: 937-461-8833
Phone: 800-535-5585
Fax: 937-461-1988
e-mail: watertech@ameriwater.com