Materials Request Form

Materials Request Forms

Please use the below forms to request materials, making only one mailing address per order.  All requests must be submitted two weeks in advance of the arrival date.  All packages under 5 pounds will be sent via the USPS, and all packages over 5 pounds will be sent via FedEx ground, unless otherwise specified in the comments field. 

Complete List of NephCure Materials/Gear (Select Specific Content)

Grassroots Packets:

New Patient Packet

New Coordinator Packet

Day-Of Walk Materials

Medical Professionals:

Introductory and Patient Materials Packet

Thank You Package

Patient Letter Mailing

Fundraising Packets:

Kidney Icon Packet Order