ACCESS - Renal Care 360

7115 Southpoint Pkwy, #380, Brentwood, TN 37027 Hours: M-F 7:30AM - 4:30PM Kristie Hartshorn at khartshorn@renalcare360.com

Renal Care 360

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Register for the ACCESS Program

Our ACCESS Program is designed to help patients better understand and manage their health through personalized education, ongoing support, care coordination, and convenient digital health tools.

Patient Information
Name(Required)
First Last
Date of Birth(Required)
Month
Day
Year
Mobile Phone Number(Required)
Email(Required)
Preferred Method of Contact(Required)
- Text Message
- Phone Call
- Email
Practice of Provider Name(Required)
Services
Please check all services you are interested in receiving:
Health Education
- Easy-to-understand information about my health conditions
- Kidney health education
- Diabetes education and support
- High blood pressure education and support
- Heart and cardiovascular health education
- Cholesterol education
- Healthy weight and nutrition education
- Medication education
- Understanding lab results and health numbers
- Healthy lifestyle education
- Other health education
Personalized Health Support
- Help understanding my current health conditions
- Help setting personal health goals
- Regular health check-ins
- Support following my care plan
- Help preparing questions for my healthcare provider
- Help understanding instructions from my healthcare provider
- Support staying engaged with my healthcare between appointments
Medication Support
- Medication reminders
- Help understanding my medications
- Help remembering medication refills
- Help creating a medication routine
- Questions about medication adherence
Appointment & Care Coordination
- Appointment reminders
- Help preparing for an upcoming appointment
- Help coordinating care with my healthcare providers
- Follow-up after healthcare appointments
- Help understanding referrals or next steps in my care
Nutrition & Healthy Living
- Healthy eating education
- Low-sodium nutrition education
- Kidney-friendly nutrition education
- Diabetes-friendly nutrition education
- Heart-healthy nutrition education
- Physical activity and healthy lifestyle support
- Weight management education and support
Digital Health Support
- Text-message health education and reminders
- Virtual health education
- AI-supported health education and assistance
- Help completing health questionnaires or assessments
- Help completing patient forms
- Remote monitoring or connected health services, when available
I am interested in receiving additional support for:
- Chronic kidney disease
- Diabetes
- High blood pressure
- High cholesterol
- Heart or cardiovascular disease
- Prediabetes
- Weight management
- Other chronic health conditions
- I am not sure and would like someone to help me determine what services may be appropriate
Additional Support
- Help finding community or healthcare resources
- Help improving my understanding of my health
- I would like someone from the ACCESS Program to contact me and explain my options
Additional Comments
Tell Us Anything Else You Would Like Us to Know
Patient Permission and Acknowledgements
Please include the following required acknowledgements:(Required)
- I give permission for Renal Care 360 and its ACCESS Program care team to contact me regarding my registration, available health support services, education and participation in the ACCESS Program.
- I agree that I may be contacted by telephone and/or text message at the mobile number I provided above. Standard message and data rates may apply.
- I understand that submitting this form is a request for information and registration and does not replace medical care from my physician or other healthcare professional.
- I have read and agree to the statements above.*

Renal Care 360° is a comprehensive chronic care management company partnering with health systems, physician groups and local communities to provide enhanced community healthcare management services.

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Recent News

Renal Care 360° Honored with ACG Award for Innovation and Growth in Healthcare

July 31, 2025

YMCA of Coastal GA Announces New Partnership with Renal Care 360°

September 10, 2024

Renal Care 360° Announces New Partnership with Mid-Florida Kidney and Hypertension Care PL

May 2, 2024

Renal Care 360° ™ 2023

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