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Download the Living Donor Assessment Form - Wexner ... 2025

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The document is a Living Donor Assessment Form from the Ohio State Comprehensive Transplant Center, designed for individuals considering organ donation. It collects detailed personal and medical information about the potential donor, their relationship to the recipient, and their health history to evaluate eligibility for living organ donation. The form includes sections on general health, medical history, infection risks, family history, and consent for pre-evaluation tests.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the recipient's information, including their name, date of birth, and relationship to you. This section is crucial for identifying the intended recipient of your donation.
Fill out your personal information accurately. Include your legal name, blood type, and contact details. Ensure that all fields are completed to avoid delays in processing.
Proceed to the medical history section. Answer all questions honestly regarding your health and lifestyle. This information is vital for assessing your eligibility as a donor.
Review the donation interest section carefully. Indicate if you have discussed your intention to donate with the recipient and family members.
Finally, sign and date the form at the end, confirming that all provided information is accurate before submitting it along with a copy of your blood type.

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Versions	Form popularity	Fillable & printable
2021	4.3 Satisfied (35 Votes)
2019	4.9 Satisfied (30 Votes)
2019	4.3 Satisfied (135 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does kidney donor size matter?

I sometimes get asked how we determine who is a match and who isnt. One of the most important factors is organ size. Whether its the heart, lung or kidneys, sizes of organs differ from person to person, but the organ size from the donor to recipient must be similar to have the best long-term results.

Will I gain weight if I donate a kidney?

A 2018 study docHubed similar conclusions, following 940 living kidney donors and finding that those who were overweight or obese before donation gained the most weight after donation. This underscores the need to maintain a healthy lifestyle post-donation.

What is a donor assessment?

The purpose of the donor medical evaluation is to make sure that donation will not pose any unusual risk to you during the procedure, or risk to your future health. Once we are informed of your interest in donation, we will ask that you complete a health questionnaire.

Whats the average weight time for a kidney transplant?

If youve found a potential living donor, the average wait for a kidney transplant from them is usually 3-6 months if everything goes smoothly.

What is the ideal weight for kidney donation?

While eligibility criteria vary between transplant centers and there are no specific kidney donor weight requirements, in general, potential kidney donors with a BMI over 35 are usually rejected as kidney donors.

Can my wife donate her kidneys to me?

Yes, as long as they match. However a kidney from a small donor may not support a needs of the recipient.

Is there a living donor registry?

Donate Life America completed the first pilot phase of the National Donate Life Living Donor Registry in October 2021. A regional launch of the National Donate Life Living Donor Registry began in December 2021 and Donate Life America will be growing the program nationwide by phases.

Can I donate my kidney if Im obese?

Most centers avoid donations from individuals with BMI above 35 kg/m2. Obesity has greater operative complications1 and is a risk factor for the development of type 2 diabetes mellitus and as a result, diabetic kidney disease, now the most common cause of end stage kidney disease in the US.

Download the Living Donor Assessment Form - Wexner ... 2025

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