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INTEGRIS Health Nazih Zuhdi Transplant Institute

Living Donor Eligibility Form

Please make sure you've read through the information on this page to ensure you meet the minimum requirements to be considered for living kidney donation.

Living Donor Screening

* Indicates required field

* Gender
* Do you have blood sugar problems or diabetes?
* Did you have blood sugar problems or diabetes during pregnancy?
* Are you currently being treated for high blood pressure?
* Do you take blood pressure medicine?
* Were you treated for high blood pressure during pregnancy?
* Do you have heart problems?
* Do you have a history of kidney stones/problems?
* Do you have a history of urine/kidney infections?
* Have you ever had cancer?
* Do you have a history of mental health disorders?
* Have you been diagnosed with infectious diseases such as HIV, AIDS, or Hepatitis?