2019 UPMC Lung Transplant Program-2026

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The document is a referral form for the UPMC Lung Transplant Program, requiring comprehensive patient and physician information to facilitate the evaluation process for lung transplant candidacy. It outlines necessary fields to be completed, including patient demographics, insurance details, and medical history, along with required attachments such as recent test results. The processing time for referrals is estimated at 2-4 weeks.

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Click ‘Get Form’ to open the 2019 UPMC Lung Transplant Program in our editor.
Begin by filling out the 'Patient Information' section. Enter the patient's name, date of birth, gender, race/ethnicity, and social security number (SSN). Ensure all fields are completed as the referral cannot be processed without the SSN.
Next, provide details for the 'Referring Physician Information.' Include the physician's name, address, phone number, and fax number. This information is crucial for communication regarding the patient's referral.
In the 'Primary Care Physician Information' section, input the primary care physician's name and contact details. Make sure to check off employment status and provide employer information if applicable.
Complete the 'Insurance Information' fields thoroughly. Include both primary and secondary insurance details along with policy numbers and holder information. Remember to attach copies of insurance cards as required.
Finally, ensure you attach all necessary documents listed at the end of the form before submitting it via fax or e-fax to expedite processing.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (31 Votes)
2018	4.1 Satisfied (23 Votes)
2016	4.4 Satisfied (55 Votes)

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What is the cutoff age for a lung transplant?

The International Guidelines for the Selection of Lung Transplant Candidates has a relative guideline age limit of 65, but there is no set upper age limit, and people over 65 often have qualified for and received a transplant.

What disqualifies you for a lung transplant?

Common reasons why a lung transplant may not be the right treatment for you include: You are too ill or frail to cope with the surgery and aftercare. You have recently had cancer, a serious infection, a heart attack or a stroke. You may struggle taking the immunosuppressant medicines after a lung transplant.

Can a 72 year old get a lung transplant?

The traditional age limit for lung transplantation is 65 years. At Mayo Clinic, however, we will evaluate individuals older than 65 who do not have docHub disease processes besides their lung diseases. Lung Transplant - Eligibility - Mayo Clinic mayoclinic.org eligibility oec-20212499 mayoclinic.org eligibility oec-20212499

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What is the oldest you can have a lung transplant?

Conclusions: Lung transplant can be offered to select older patients up to age 74 with acceptable outcomes. SLT may be preferred for elderly patients, but BLT offers acceptable long-term outcomes without docHub short-term risk.

What is the longest living lung transplant patient?

Then at age 28 doctors offered him the stark and risky choice of a double lung transplant first of its kind at UNC Hospitals and likely the Southeast. Graham gambled and won, beating what his own surgeon called 50-50 odds and living another 32 years the worlds longest survival. NC man with record for longest lung transplant survival dies newsobserver.com local article269347822 newsobserver.com local article269347822

What is the life expectancy of a lung transplant patient?

Median survival following a lung transplant is four to six years, but its possible to live much longer. Your individual prognosis depends on many factors, such as your age, where you get the surgery, and follow-up care. Because lungs are so fragile, life expectancy is shorter than with other solid organ transplants. Lung Transplant Survival Rate and Life Expectancy - Verywell Health verywellhealth.com lung-transplant-surviv verywellhealth.com lung-transplant-surviv

Does UPMC do lung transplants?

Your doctor can refer you to the UPMC Lung Transplant Program, or you may refer yourself. Visit the UPMC website UPMC.com/LungTransplant for a patient referral form that lists what information is needed to be referred to the program. Information can be faxed to UPMC via a secure e-fax line at 412-864-5913. Lung Transplant Surgery Frequently Asked Questions - UPMC upmc.com transplant lung process faq upmc.com transplant lung process faq

Can you get a lung transplant after the age of 70?

Our results suggest that lung transplant recipients 70 years old have similar survival outcomes compared to those

2019 UPMC Lung Transplant Program-2026

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