Too expedite the referral process, we have created the
following checklist for your convenience.
The following information is needed in order to process a
referral. Records may be faxed to 919-681-9571.
Local Physician Referral Check List
- Patient name, address, and phone number
- Patient height and weight
- Date of birth
- Recent history and physical and/or discharge summary
- Most recent pulmonary function tests
- Insurance information (if available)
- Referring physician's name, address, telephone number and
fax number
Once all the information is received, one of us will contact
the patient and schedule the patient's evaluation. This process
generally takes two to four weeks.
Once the evaluation has been completed, the referring
physician will receive a letter with the transplant team's
decision whether transplantation is appropriate for the patient
and a copy of all test results obtained during the patient's
evaluation.
Please call 800-249-5864 or 919-684-2240 with
any questions or if there is additional information we can
provide to facilitate the referral process.
Contact Information
Voice: 1-800-249-5864 or 919-684-2240
Fax: 919-681-9571
Email: Lung_Transplant@mc.duke.edu