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Living donor health history form

Online Kidney Transplant Living Donor Form 2026

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4.7 out of 5

56 votes

The document is a 'Donor Health History Form' for the Living Donor Transplant Program, which collects comprehensive health and demographic information from potential organ or tissue donors. It includes sections on personal details, medical history, lifestyle factors, and specific health inquiries related to various systems (e.g., cardiovascular, gastrointestinal). The form aims to assess the donor's suitability for donation while ensuring confidentiality of the provided information.

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Send living donor health history via email, link, or fax. You can also download it, export it or print it out.

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Click ‘Get Form’ to open the Online Kidney Transplant Living Donor Form in the editor.
Begin by filling out your personal information in the Demographics section. Ensure you provide your full legal name, date of birth, and contact details accurately.
Indicate the organ or tissue you wish to donate by checking the appropriate box. This is crucial for processing your application.
Complete the Medical History Section thoroughly. Answer all questions regarding your health and lifestyle honestly, as this information is vital for assessing your eligibility as a donor.
Review all entered information for accuracy before submitting. Use our platform’s features to save your progress and make any necessary edits easily.

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See more Online Kidney Transplant Living Donor Form versions

We've got more versions of the Online Kidney Transplant Living Donor Form form. Select the right Online Kidney Transplant Living Donor Form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2023	4.7 Satisfied (56 Votes)
2018	4.7 Satisfied (44 Votes)
2014	4.5 Satisfied (48 Votes)

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

What is the website for kidney donors?

To be a living donor, you must: Be at least 18 or older (some transplant hospitals require donors to be at least 21) Have good physical and mental health. Know the risks and benefits of living donation. Make an informed decision that living donation is right for you.

What disqualifies you from being a living kidney donor?

There are some medical conditions that could prevent you from being a living donor, including having uncontrolled high blood pressure, diabetes, or cancer. If youre a smoker, you will most likely be asked to quit before being approved to donate.

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