For Providers

Thank you for entrusting your patients' care to the Queen's Transplant Center.

Liver Transplant Program 

Physicians may refer their patients with liver disease that may require transplant to one of our transplant surgeons for an initial consultation. Please call 808-523-5033.


Kidney Transplant Program (Adult and Pediatric) 

Referrals to the Queen's Transplant Center may be made by filling out the Kidney and/or Pancreas Transplant Referral Form. The patient should complete and sign the Patient Health Questionnaire for Kidney/Pancreas Transplant Evaluation. Fax forms directly to the Queen’s Transplant Center at 808-691-8896.

 

Kidney Referral Criteria document

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Kidney and/or Pancreas Transplant Referral Form

Download Form

 

Patient Health Questionnaire for Kidney/Pancreas Transplant Evaluation

Download Form

 


Living Kidney Donation 

Potential donors can fill out the Living Kidney Donor Program Referral Form and fax the form directly to the Queen’s Transplant Center at 808-691-8896.

 

Living Kidney Donor Program Referral Form

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