Kidney Transplant Referrals
Referrals
If you are interested in having an evaluation to determine if you are a potential transplant recipient, you need to discuss this with your doctor, whom we refer to as the "referring provider."
Referring providers and patients who have questions about setting up an appointment for a potential kidney transplant should call (608) 263-9531. At any time you may ask to speak to one of the pre-transplant kidney coordinators or a transplant surgeon.
Referring providers or the patient themselves, will be asked to provide the following information about the patient when calling to make a referral: name, address, phone number, date of birth, social security number, cause of kidney failure, primary doctor, insurance, and if the patient has received a transplant previously.
After the initial referral call, the provider or the patient will be asked to forward the following patient records as they are available:
- Current history and physical
- Current labs, including a creatinine clearance if the patient is not on dialysis, and a PSA for men >50 y.o.
- Cardiac tests including, ECG, Echo, stress test, cath report/film, cardiac surgical report
- Medication list
- Overview of radiology reports
- Overview of discharge summaries and clinic visits
- Operative notes from major surgeries
- Mammogram, pap and pelvic exam results for females
- Documentation of any cancer diagnosis and the treatment
- Colonoscopy report (if done within past three years)
- Advance directive or living will
- Chest X-ray report
- Records from a previous transplant evaluation or transplant