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Get Medical Certification Form - National Kidney Registry - Kidneyregistry
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How to fill out the Medical Certification Form - National Kidney Registry - Kidneyregistry online
Filling out the Medical Certification Form for the National Kidney Registry is a vital step in the kidney donation process. This guide will provide you with clear, step-by-step instructions to complete the form accurately and effectively.
Follow the steps to fill out the Medical Certification Form online.
- Press the ‘Get Form’ button to access the document and open it in the online editor.
- Begin completing the ‘Medical Record Release Authorization and Agency Designation’ section. This part requires you to authorize the Kidney Registry to obtain your medical information necessary for matching purposes.
- Sign and print your name in the designated areas following the authorization declaration. Include today's date and your date of birth.
- Complete the ‘Donor Health Certification Form’ section, which needs to be filled out by your physician. Ensure that the physician certifies your health status and indicates your blood type.
- Ask your physician to sign, print their name, and provide their address and phone number in the appropriate fields.
- Review all filled entries to ensure accuracy and completeness before finalizing the form.
- Save your changes, then choose to download, print, or share the completed form as required. You can fax it to 800-401-8919, email a scanned copy to donorservices@kidneyregistry.org, or mail it to PO Box 460, Babylon, NY 11702.
Start completing your Medical Certification Form online today for a smoother donation process.
Yes, your wife can donate a kidney to you if she is a suitable match based on medical evaluations. Living donations between family members often lead to improved transplant outcomes. If you're considering this option, you may need to complete the Medical Certification Form - National Kidney Registry - Kidneyregistry as part of the process.
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