Patient Referral to the Lung Transplant Program at Massachusetts General Hospital

To ensure a smooth and expedited intake process:

Please encourage your patient to call Mass General registration at 866-211-6588, Monday-Friday, 8:00 am to 5:00 pm ET.

Please submit the secure form below to refer your patient to a provider in the Lung Transplant Program at Massachusetts General Hospital. Be sure to submit the following required documents via fax: 617-726-2581:

• Insurance coverage
• Relevant office notes
• Pulmonary function tests
• Chest CT reports
• Echocardiogram
• Lab results (chemistry & hematology)

If you have any questions about a specific patient’s eligibility, please contact us to discuss further at MGHLungTransplant@mgb.org.

The presence of the following contraindications may affect eligibility for lung transplantation:

• Lack of patient willingness
• BMI > 35
• Malignancy with high risk of recurrence
• Stroke or acute coronary syndrome in past 30 days
• Active tobacco use
• Active TB or other uncontrolled infection
• Liver or kidney failure with low likelihood of recovery

Please review and consider discussing further.

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