Get the free Kidney Living Donor Referral - Penn Medicine

Penn Transplant Institute Fax Referral Form Fax: 2156154661 Penn Transplant Institute, Kidney Transplant Program Main Phone: 215.662.6200 FAX: 215.615.4661 Penn Transplant Institute Hospital of the

How to fill out kidney living donor referral

How to fill out kidney living donor referral

1. Step 1: Begin by requesting a kidney living donor referral form from your healthcare provider or transplant center.
2. Step 2: Complete the required personal and medical information on the referral form. Provide accurate and up-to-date information.
3. Step 3: Ensure all necessary supporting documents, such as medical records and test results, are attached to the referral form.
4. Step 4: Double-check the completed referral form and supporting documents for any errors or missing information.
5. Step 5: Submit the filled out referral form and supporting documents to the designated recipient, such as the transplant coordinator or healthcare provider.
6. Step 6: Wait for the referral to be reviewed and processed by the transplant center or healthcare provider.
7. Step 7: Follow up with the transplant center or healthcare provider to ensure the referral is received and to inquire about the status of the evaluation process.
8. Step 8: If approved, proceed with the next steps outlined by the transplant center or healthcare provider. If not approved, seek further guidance on alternative options or next steps.
9. Step 9: Stay informed and engaged throughout the evaluation process, as there may be additional requirements or steps to complete.

Who needs kidney living donor referral?

1. Individuals who require a kidney transplant and have identified a potential living donor are the ones who need a kidney living donor referral.
2. A kidney living donor referral is necessary to initiate the evaluation process of the potential living donor and assess their suitability for kidney donation.
3. Patients who have end-stage renal disease or severe kidney dysfunction, and have exhausted or have limited options for deceased donor transplant, may be eligible for a kidney living donor referral.
4. The decision to pursue a kidney living donor referral is typically made in consultation with a healthcare provider or transplant center.

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What is kidney living donor referral?

Kidney living donor referral is the process of referring potential living kidney donors to the appropriate healthcare professionals for evaluation.

Who is required to file kidney living donor referral?

The transplant center or healthcare provider overseeing the transplant process is required to file kidney living donor referral.

How to fill out kidney living donor referral?

To fill out kidney living donor referral, the healthcare provider will gather information about the potential donor and submit the referral to the transplant center.

What is the purpose of kidney living donor referral?

The purpose of kidney living donor referral is to assess the suitability of potential living kidney donors and facilitate the transplant process.

What information must be reported on kidney living donor referral?

The kidney living donor referral must include the donor's medical history, blood type, compatibility with the recipient, and any relevant test results.