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UK Pediatric Lung and Heartland Transplantation Referral ProformaSTRICTLY CONFIDENTIALTHIS FORM MAY BE USED TO REFER TO ANY OF THE UK Centers THAT PERFORM LUNG & HEARTLAND TRANSPLANTATION. PLEASE
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What is Lung and Heart-Lung Transplantation Form?

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Lung transplantation involves replacing a diseased or failing lung with a healthy lung from a donor. Heart-lung transplantation is when both the heart and lungs are replaced with healthy organs from a donor.
Patients who have severe lung or heart-lung disease and are candidates for transplantation are required to file for lung or heart-lung transplantation.
To fill out a lung or heart-lung transplantation, patients need to work closely with their healthcare provider and transplant team to complete the necessary medical evaluations and paperwork.
The purpose of lung and heart-lung transplantation is to improve the quality of life and prolong the survival of patients with end-stage lung or heart-lung disease.
Medical history, physical exam results, diagnostic tests, and imaging studies are some of the information that must be reported on lung and heart-lung transplantation.
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