Kidney Transplant Referrals
Referrals
If you are interested in having an evaluation to determine if you are a potential transplant recipient, you, your physician, or any other caregiver may contact the program.
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
