A patient platform for patient engagement and treatment compliance is disclosed. In an example, a system includes a clinician server, a personal mobile communication device storing first registration information for communicating with the clinician server, and a home therapy machine assigned to a patient and configured to transmit treatment information related to a dialysis treatment performed on the patient. The home therapy machine is capable of being communicatively coupled to the clinician server via a separate Internet connection as specified by second registration information and the personal mobile communication device via a local connection. The home therapy machine is configured to transmit the treatment information to the personal mobile communication device when the second registration information is not available or the separate Internet connection is not available. The personal mobile communication device is configured to transmit the received treatment information to the clinician server using the first registration information.