Referral Forms

If you would like to refer your patient to the INTEGRIS Nazih Zuhdi Transplant Institute, please select the appropriate referral form. We also have provided a list of frequently used diagnosis codes and accepted insurances.

Kidney/Pancreas Referral Form
Please fax the completed form to 405-713-7465.

Transplant Evaluation/Hepatology/Hepatobiliary Surgery Referral Form
Please fax the completed form to 405-713-7643. If you have questions, please call 800-991-3349.

Lung Referral Form
Please fax the completed form to 405-552-0450. If you have questions, please call 405-951-8191.

Advanced and General Gastroenterology Referral Form
Please fax the completed form to 405-815-6172. If you have questions, please call 405-949-3349.

Frequently Used Diagnosis Codes
This is a list of diagnosis codes that are frequently used for transplant patients.

Accepted Transplant Networks
Accepted transplant networks at the Nazih Zuhdi Transplant Institute.


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Oklahoma's largest hospital network
3300 N.W. Expressway
Oklahoma City, OK 73112 Phone: (405) 951-2277
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