OSU Wexner Medical Center Living Donor Assessment Form 2021-2025 free printable template
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Ohio State Comprehensive Transplant Centering DONOR ASSESSMENT FORM
FOR OFFICE USE ONLY
FORM RECEIVED:TRANSPLANT #:RECIPIENTS MAN:PRA:RECIPIENTS BLOOD TYPE:RECIPIENTS DISEASE:
RECIPIENTS STATUS:TRANSFUSION
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How to fill out OSU Wexner Medical Center Living Donor
How to fill out OSU Wexner Medical Center Living Donor Assessment
01
Obtain the Living Donor Assessment form from the OSU Wexner Medical Center website or contact their office.
02
Ensure you have all required personal information at hand, including your full name, date of birth, and contact details.
03
Fill out medical history sections accurately, including any past surgeries, illnesses, and current medications.
04
Complete the psychosocial evaluation section, providing information on your support system and mental health history.
05
Detail your reasons for wanting to become a living donor, including motivations and understanding of the process.
06
Provide information about your physical health, including lifestyle details such as exercise, diet, and smoking or alcohol consumption.
07
Review the entire form to ensure all information is complete and accurate before submission.
08
Submit the form as per the instructions, either online or via mail, and await further instructions from the medical center.
Who needs OSU Wexner Medical Center Living Donor Assessment?
01
Individuals who wish to donate a kidney or part of their liver to a recipient in need of a transplant.
02
People interested in potentially helping a friend or family member who is suffering from organ failure.
03
Candidates who are in good health and meet the medical criteria set by OSU Wexner Medical Center for living donation.
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What is OSU Wexner Medical Center Living Donor Assessment?
The OSU Wexner Medical Center Living Donor Assessment is a comprehensive evaluation process designed to determine the suitability of individuals who wish to donate organs, such as a kidney or liver, while still alive.
Who is required to file OSU Wexner Medical Center Living Donor Assessment?
Individuals who are considering becoming living organ donors must file the OSU Wexner Medical Center Living Donor Assessment as part of the evaluation process.
How to fill out OSU Wexner Medical Center Living Donor Assessment?
To fill out the OSU Wexner Medical Center Living Donor Assessment, potential donors should complete the designated forms provided by the medical center, providing accurate and complete information regarding their medical history, current health status, and any other required details.
What is the purpose of OSU Wexner Medical Center Living Donor Assessment?
The purpose of the OSU Wexner Medical Center Living Donor Assessment is to ensure the safety and well-being of both the donor and the recipient by thoroughly evaluating the donor’s health and suitability for organ donation.
What information must be reported on OSU Wexner Medical Center Living Donor Assessment?
The information that must be reported on the OSU Wexner Medical Center Living Donor Assessment includes personal identification details, medical history, family medical history, current medications, lifestyle factors, and any previous surgeries or health issues.
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