Online Forms

The Transplant Center is happy to provide secure web portals to make it easier for potential living donors and transplant recipients, dialysis centers, and referring nephrologists to communicate with us.  Below is a brief description and an access link for each.

Transplant Recipient Referral - to refer a patient for a transplant evaluation please click here. Patients, dialysis centers, and physicians can refer patients using this portal. A transplant coordinator will contact the patient within one business day to start the evaluation process.

Living Donor Referral – to be evaluated to be a living donor please, click below. Our living donor coordinator will contact you in the next few business days.

Physician Portal – this portal is for referring physicians to see the status of their patients and test results. Access to this portal requires a user name and password. If you do not have these items, please click here

 

We may always be contacted via phone or fax at the following numbers:

Phone: 918-744-2925
Fax: 918-744-3671