A dialysis system includes (i) a first home dialysis machine located at a first patient's home; (ii) a second home dialysis machine located at a second patient's home; (iii) a first modem in data communication with the first home dialysis machine; (iv) a second modem in data communication with the second home dialysis machine; (v) a clinician server associated with a dialysis center; (vi) a first clinician computer in data communication with the clinician server; (vii) a second clinician computer in data communication with the clinician server; (viii) a dialysis center modem in data communication with the clinician server; and (ix) a network in data communication with the first modem, the second modem and the dialysis center modem.