INTEGRIS Nazih Zuhdi Transplant Institute

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.

Download Pediatric Gastroenterology Referral Form