01. Edit your lung transplant referral online
Type text, add images, blackout confidential details, add comments, highlights and more.
Lung transplant referral 2026
Here's how it works
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send lung referral form via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out lung transplant referral with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
- Click ‘Get Form’ to open the lung transplant referral form in the editor.
- Begin by filling out the Patient Demographic Information section. Include details such as the patient's name, gender, address, and contact information. Ensure accuracy as this information is crucial for processing.
- Next, complete the Physician Information section. Provide the referring physician's details along with their contact information and any relevant CF center data.
- In the Primary Insurance Information section, enter the insurance company details and policyholder information. If applicable, check the box indicating a copy of the insurance card is included.
- Fill out the Required Medical Information section thoroughly. This includes primary diagnosis, CFTR genotype, height, weight, and any additional medical history that may impact transplant candidacy.
- Finally, attach all required records as specified at the end of the form. This ensures that all necessary documentation is submitted for review.
Start using our platform today to streamline your lung transplant referral process for free!
See more lung transplant referral versions
We've got more versions of the lung transplant referral form. Select the right lung transplant referral version from the list and start editing it straight away!
Who gets priority for a lung transplant?
All candidates are placed in order for compatible lung offers according to their score: a candidate with a higher lung allocation score will receive higher priority for a lung offer when a compatible lung becomes available in the same geographic zone. you can breathe in as deeply as possible.
What are the requirements to receive a lung transplant?
Patients with COPD should be considered for referral for transplantation if they have progressive disease. Despite maximum medical treatment, if they are not candidates for lung reduction surgery or bronchoscopy treatments for lung reduction. If they have a multidimensional boat index, that is 5 to 6 units.
When to refer to a lung transplant?
The CF Foundation recommends lung transplant evaluation, regardless of FEV1, when there are markers of shortened survival including: 6-minute walk test (6MWT) distance 400 meters, hypoxemia (at rest or exertion), hypercarbia, or pulmonary hypertension.
What are the criteria to get a lung transplant?
With 40% of all lung transplantations performed worldwide, COPD (non-A1ATD and A1ATD) is the most common indication (53). The clinical course of COPD is typically very protracted, and even at an advanced stage, shortand intermediatesurvival is better than the other commonly transplanted diseases.
When to refer for a lung transplant?
Most major lung diseases that may lead to transplant have their own guidelines for when transplant surgery evaluation is appropriate. However, some characteristics to consider for lung transplant referral include: End-stage lung disease limiting life expectancy or producing docHub disability.
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
