If you would like to refer your patient to the INTEGRIS Nazih Zuhdi Transplant Institute, please select the appropriate referral form.
| Kidney/Pancreas Referral Form Please fax the completed form to 405-815-6404. |
| 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 Endoscopy Form Please fax the completed form to 405-633-9104. If you have questions, please call 405-633-9101. |
| Self Referral Form Please fill out and submit this living donor eligibility form. |