Patients come to be diagnosed and managed if their own physician or primary care provider is concerned that they might have a kidney disease. Children with previously diagnosed kidney disease or high blood pressure are followed and seen in this clinic. Children living with reduced kidney function may be seen in the clinic. Children needing Renal Replacement Therapy will be seen in the appropriate dialysis or transplant clinic. One of the goals of this clinic is the early detection of conditions that might affect the kidney. Early detection and management offers the hope of curing or preventing the progression of kidney disease.