The International Society for Hemodialysis (ISHD) offers the 282-page online practical manual, Implementing Hemodialysis in the Home, free on their website. The manual can also be purchased from Amazon for $36. ISHD would like to bulk-print copies of the manual, which they could sell for $6, but to do that they need a print run of at least 3,000 copies. To that end they’re asking interested organizations to commit to buying at least 200 copies. For details on any of these options, see http://www.ishd.org/bulk-printing-of-home-hd-manual/ .