Lab No.

Date:

Patient Name:

Sex:

REF. BY DR.:

AGE:

SAMPLE COLL. AT:

KIDNEY STAGES

Stage	Status	GFR*
Stage 1	Kidney Damage with normal Kidney Function	90 or higher
Stage 2	Kidney Damage with mild loss of Kidney Function	60-89
Stage 3a	Mild to modrate loss of Kidney Function	45-59
Stage 3b	Modrate to severe ioss of Kidney Function	30-44
Stage 4	servere loss of Kidney Function	15-29
Stage 5	Kidney Failure	less than 15
	Result