Registration Form

Please register to receive regular newsletter, write-up and information about kidney disease.

*Compulsory fields
By submitting this form, you hereby acknowledge your agreement and acceptance to providing all of your personal information listed above (i.e., name, date of birth, contact phone number, e-mail address, etc.) to Baxter Healthcare (Malaysia) Sdn Bhd and its affiliates (“Baxter”), who are collecting this information for the purpose of providing you with information about kidney disease and its treatment options, and for Baxter’s internal use to help develop more effective marketing campaigns on chronic kidney disease (CKD) and end-stage renal disease (ESRD) awareness campaigns.