As a referring health care provider, you are a crucial resource for patients who might need organ transplantation. We strive to facilitate your referral of patients to the UK HealthCare Transplant Center.
We will communicate with you about the status of the patients you entrust to our care during all of the transplantation phases.
If you are a health care provider and would like to refer a patient to the UK HealthCare Transplant Center, please call one of the numbers below or refer a patient using the fax referral forms below. As a referring health care provider, you are a crucial resource for patients who might need organ transplantation.
Kidney & Pancreas Referrals
View kidney/pancreas fax referral form (PDF, 69 KB). View vascular access consultation request for (PDF, 52 KB).
Webinar now available – The New Kidney Allocation System: What Referring Physicians Need to Know »
Liver transplant consult form (PDF, 100 KB)
Heart and Lung Referrals
View heart transplant and ventricular assist device referral checklist and consultation form (PDF, 177 KB). View lung transplant referral form (PDF, 62 KB).
Living Donor Kidney Information
Questionnaire for kidney donor evaluation (PDF, 1.9 MB). Patient's Guide to Living Donor Kidney Transplantation (PDF, 1.2 MB).
The UK Physician Portal is a secure, web-based resource that gives providers who refer patients to UK HealthCare real-time information about their patient's treatment and medical care. To learn more about the portal or to request portal training, call Liz Robertson at 859-323-0736 or reach her by email.