Transplant

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Transplant Referral

At University Transplant, we are committed to patient-centered care and believe outcomes are improved by partnering relationships with the patient’s primary care team.

The following referral criteria is designed to serve as a guide for when to contact the University Transplant team.

Transplant Referral Criteria

  • Kidney Transplant [link to PDF of criteria]
  • Kidney/Pancreas or Pancreas Only Transplant [link to PDF of criteria]
  • Liver Transplant [Need info]

How to Refer a Patient to University Transplant

To make a referral, call (601) 984-5065 to speak with a dedicated transplant coordinator. Referral forms are available for download at the links below. Please fax the completed referral form to (601) 984-2962.

Transplant Referral Forms

  • Heart Transplant Referral Form [link to PDF of referral form]
  • Kidney and Kidney/Pancreas Transplant Referral Form [link to PDF of referral form]
  • Liver Transplant Referral Form [link to PDF of referral form]
  • Abdominal Transplant Team [Link to PDF of team bio]
A Letter from the Chair Regarding Liver Transplant [Link to PDF of liver referral letter]