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UHN Donor Health History Form - Toronto General Hospital

UHN Donor Health History Form - Toronto General Hospital 2026

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The document is a comprehensive health history questionnaire for potential living organ donors. It collects personal information, medical history, and lifestyle details to assess the donor's suitability for organ donation. The form includes sections on demographics, general health, specific organ health, infection risks, and social factors. Additionally, it contains a separate Ebola Virus Disease screening questionnaire to ensure the safety of the donation process.

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Click ‘Get Form’ to open the UHN Donor Health History Form in our editor.
Begin by filling in your personal details in the Demographics section, including your name as it appears on your health card, date of birth, and contact information. Ensure accuracy for effective communication.
Indicate your marital status and provide your height, weight, and blood type. If you have a copy of your blood type, attach it as instructed.
Proceed to the Medical History section. Answer each question honestly regarding past surgeries, medications, allergies, and lifestyle habits. This information is crucial for assessing your eligibility as a donor.
Complete the sections on organ/tissue donation preferences and recipient details if applicable. Make sure to clarify any relationships or discussions you've had regarding donation.
Review all entries for completeness and accuracy before submitting the form along with any required documents to the assessment office.

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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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What is the best hospital in Canada for liver transplant?

LHSC is home to one of the oldest and most successful liver transplant programs in the world. Since their first liver transplant in 1977, the Liver Transplant Team at LHSC has performed more than 2000 liver transplants including Canadas longest-surviving recipients at 39 years.

How much does a liver transplant cost Canada?

In FY2019, the age group

What does donor Z9 mean?

Z9 and 9Z are the most common codes. Z9 indicates that a person has consented to any needed organs and tissues to be used for transplant only, while 9Z indicates that a person has consented for any needed organs and tissues be used for transplant and organ and tissue research.

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How long is the wait for a liver transplant in Canada?

How long do people have to wait for a transplant? The waiting time for a kidney transplant for an average person is two and half to three years. Heart and liver patients are not able to wait that long, but may wait from a few days to nine months.

How hard is it to qualify for a liver transplant?

The minimum requirements to qualify for a liver transplant are: That you have clinical signs of liver failure or primary liver cancer. That you are well enough to have the surgery and recover well. That you are not considered at risk of future alcohol or drug abuse.

Is it hard to get a liver transplant in Canada?

There are many more people waiting for a liver transplant than there are donors. Up to one in four patients on the liver transplant waiting list will die before a liver becomes available.

Is there a database for organ donors?

OPTN dashboards UNOS collects and reports data on every U.S. organ donor, transplant candidate, recipient and outcome. The data is used to study and advance transplant, inform policy development and help professionals make informed decisions.

What is the UHN living liver donor program?

A living donation happens when a person who is alive gives either a kidney or a part of their liver to someone with end-stage kidney or liver disease. Who can be a living donor? A living kidney or liver donor could be a spouse, family member, friend, co-worker or stranger. willing to freely donate.

UHN Donor Health History Form - Toronto General Hospital 2026

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