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Referral Form

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.

Liver/Lung/Heart/Hepatology Referral Form
Please fax the completed form to 405-713-7643. If you have questions, please call 800-991-3349.

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.