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INTEGRIS Health Nazih Zuhdi Transplant Institute

Refer a Patient

Select the appropriate referral form if you would like to refer your patient to the INTEGRIS Health Nazih Zuhdi Transplant Institute.

Forms

Kidney/Pancreas Referral Form
Fax the completed form to 405-815-6404.
Transplant Evaluation/Hepatology/Hepatobiliary Surgery Referral Form
Fax the completed form to 405-713-7643.
If you have questions, call 800-991-3349.
Lung Referral Form
Fax the completed form to 405-552-0450.
If you have questions, call 405-951-8191.
Advanced Endoscopy Form
Fax the completed form to 405-633-9104.
If you have questions, call 405-633-9101.
Self Referral Form
Fill out and submit the living donor eligibility form.