Liver Replaced by Transplant
Diagnosis |
Liver replaced by transplant
|
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Department |
Abdominal Organ Transplant
|
1. Start the referral process:
Use your own referral form or notes* or download one of our forms:
2. Gather records:
- Operative notes from transplant (please include all operative reports from this admission)
- Explant Pathology
- Any notes regarding confirmed or suspected HAT/ Biliary leak, Biliary stricture, rejection, CMV
- Last Hepatology and Surgical clinic visit
- Discharge summary after transplant
- Current immunosuppression regimen
- Last 6 sets of liver transplant lab work
- Donor and Recipient serologies at the time of transplant, including Hep B core AB
- If the patient is under 1 year post liver transplant, a transfer of care will be considered on a case-by-case basis. Please call our provider consult line 503-494-4567 for a physician-to-physician discussion to get the process started.
3. Fax the referral and all records to 503-346-6854.
* Referral notes or forms should include:
- Patient name, date of birth, sex, address and phone number
- Referring provider’s name, address and phone number
- Diagnosis or reason for referral
- Department patient is being referred to
- Most recent chart notes supporting the diagnosis or reason for referral
For help or to arrange provider-to-provider advice, call 503-494-4567.
Date Revised | September 09, 2024 |
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