ASSIGNMENT AND ASSUMPTION OF IN-PATIENT AGREEMENT

     DCA Medical Services, Inc. (the "Provider") under an Agreement for 
In-Hospital Dialysis Services with Columbia Fort Walton Beach Medical 
Center ("Hospital") dated July 1, 1997 ("In-patient Agreement") hereby 
sells, assigns and transfers to Renal Care Group of the Southeast, Inc. 
("RCGSE") irrevocably and unconditionally, all of the Provider's right, 
title and interest and obligations under, in and to the In-Patient 
Agreement. 

     RCGSE hereby accepts the foregoing sale, assignment and transfer of the 
In-patient Agreement and agrees to be bound by and faithfully observe and 
perform and hereby assumes all of the covenants, stipulations, agreements,
terms and obligations ("Obligations") of and under the In-Patient Agreement
as of the Closing Date of the Asset Purchase Agreement between the parties
("Asset Purchase Agreement").  RCGSE and its parent, Renal Care Group, Inc.
("RCG") hereby indemnify and save Provider, and its successors and assigns,
officers and directors, harmless from any and all claims, demands, actions,
causes of action, suits, proceedings, charges, liabilities, costs and 
expenses of every nature whatsoever, including attorney's fees ("Claims"), 
which relate to and arise under the In-Patient Agreement on or after the 
Closing Date of the Asset Purchase Agreement but not with respect to any 
Claims relating to and arising under the In-Patient Agreement prior to the
Closing Date of the Asset Purchase Agreement.

     This Assumption is made pursuant to Section 14 of the In-Patient 
Agreement, which provides that the sale of substantially all of Provider's 
assets is not deemed an assignment provided the succeeding party, to wit,
RCGSE, remains bound by the terms of the In-Patient Agreement, which is the 
intent and purpose of this Assumption.

     This Assumption may be executed in any number of counterparts, each 
of which shall be deemed to be an original, but all of which together will 
constitute one and the same instrument.

     This Assumption shall be binding upon and inure to the benefit of the 
successors and assigns of the parties.

     IN WITNESS WHEREOF, the undersigned have caused this Assumption to be 
executed by their duly authorized corporate officers as of the date first 
written above.

                             DCA MEDICAL SERVICES, INC.

                             By: /s/ Bart Pelstring
                                ------------------------------
                                BART PELSTRING, President

                             RENAL CARE GROUP OF THE 
                             SOUTHEAST, INC.

                             By: /s/ Ronald Hinds
                                ------------------------------

                             RENAL CARE GROUP, INC.

                             By: /s/ Ronald Hinds
                                ------------------------------


Dated: October 31, 1997