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Now Taking Physician Referrals

We accept referrals over the phone at 801-585-3697. Our Lung Transplant Team will help facilitate the initial appointment.

Lung Transplant Assistant

Phone: 801-585-3697
Toll-free: 800-456-8341
Fax: 801-213-3969

Patient Information Needed on Referral

The following information, if available, will be requested at the time of referral:

  • Patient demographics, including current insurance information
  • Medical records from all attending physicians and specialists
  • History and physical
  • Lab work
  • Radiology reports
  • Pathology report, including lung biopsy if available
  • Surgery and procedure reports
  • Recent pulmonary function tests

Lung Transplant Evaluation Testing

The following tests are part of the evaluation process, and arranging as many of them as possible at the time you refer your patient will speed the transplant evaluation process considerably. If you have any questions regarding these tests or would like to discuss appropriate timing of these tests, please do not hesitate to reach out to our team.

  • Right and left heart catheterization
  • Colonoscopy
  • Echocardiogram with bubble study
  • DEXA scan
  • CT chest without contrast, PA/LAT chest X-ray
  • Mammogram, if a woman over 40
  • Pap/pelvic exam
  • Up to date yearly visit with dentist and ophthalmologist
  • Breathing tests, including spirometry, DLCO, plethysmography, and a six minute walk test
Patient Information
Patient Name
Patient Address
Gender
Employment Status
Emergency Contact
Referring Physician Information
Primary Care Physician Information
Physician Address
Primary Insurance Information
Secondary Insurance Information
Call 801-585-3697 OR