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Kidney Transplantation Program Referral

This form is intended for clinicians or patients seeking to begin a kidney transplant evaluation for patients with advanced or end-stage kidney disease.

The Tufts Medical Center Kidney Transplant Program emphasizes individualized care, clear communication and close collaboration with referring clinicians. Following submission, a member of the transplant team will reach out to the patient within two business days. You can also skip the form and call us directly at 617.636.5592.

This form is not for medical emergencies. If the patient requires urgent medical attention, please contact their current care team, dial 911, or refer them to the nearest emergency department.

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