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  • Duke Liver Transplant Referral Form

Get Duke Liver Transplant Referral Form

PaT I e N T R e f e R R a L f oRm Duke Transplant Services Liver and Intestine Transplant Program Toll-Free: 800-249-5864, option Local: 919-613-7777, option 3 Fax: 919-681-7930 3 USPS: Box 102347,.

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You may be disqualified from having a liver transplant if you have: Current alcohol or drug abuse problems. Uncontrolled infection that will not go away with a transplant. Metastatic cancer or bile duct cancer.

Patients should be referred to a liver transplant center if they have evidence of severe hepatitis, fulminant hepatic failure, a life-threatening systemic complication of liver disease or a liver-based metabolic defect, or, more commonly, cirrhosis with complications.

The MELD score determines how urgently a patient requires a liver transplant based on the likelihood of death within a three-month period. A MELD score of 10 or higher is a clinical indication of liver dysfunction.

Please contact our Transplant Outreach Liaison at 919-613-2843 if you would like to schedule a visit from the Duke transplant clinical team, learn more about our patient referral and evaluation process or schedule a time to visit us here at Duke.

You may not be able to have a transplant if you: Have a current or chronic infection that can't be treated. Have metastatic cancer. This is cancer that has spread from its main location to 1 or more other parts of the body.

The most common cause of chronic liver failure is scarring of the liver (cirrhosis). When cirrhosis occurs, scar tissue replaces typical liver tissue and the liver doesn't function properly. Cirrhosis is the most frequent reason for a liver transplant.

Excluding Criteria for Liver Transplant Cancer outside the liver. Alcohol for at least 6 months. Substance abuse. Active infections. Disabling psychiatric conditions. Documented medical non-compliance. Lack of adequate social support. Lack of adequate insurance.

AIDS (the final stage of an HIV infection) a serious heart and/or lung condition, such as heart failure or chronic obstructive pulmonary disease (COPD) a serious mental health or behavioural condition that means you would be unlikely to be able to follow the medical recommendations for life after a liver transplant.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232