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Before Your Visit

Please Note: This is only for patients with a scheduled transplant evaluation appointment.

Prior to your appointment, please:

  • Print out and complete the forms under "Initial Appointment" to bring them with you to the appointment

  • Gather your Photo ID and Health Insurance Card to bring them with you to the appointment (REQUIRED)

  • Review any forms under "Patient Education Materials"

Forms Library

Name

Click to Download

Authorization for Release of Health Information

English

Initial Appointment

Autorización para la divulgación de información de salud

Spanish

Initial Appointment

Consentimiento informado para evaluarnformed

Spanish

Initial Appointment

Informed Consent To Evaluate

English

Initial Appointment

Aviso de prácticas de privacidad y acuse de recibootice

Spanish

Initial Appointment

Notice of Privacy Practices Brochure

English

Patient Education Materials

Acuse de recibo del aviso de practicas de confidencialidad

Spanish

Initial Appointment

Notice of Privacy Practices and Acknowledgment of Receipt

English

Initial Appointment

Preguntas y respuestas para los candidatos de trasplante sobre el listado múltiple y la transferencia del tiempo de esperau

Spanish

Initial Appointment

Q & A for Transplant Candidates about Multiple listing and Waiting time transfer

English

Initial Appointment

Questions & Answers for Transplant Candidates about Multiple Listing and Waiting Time Transfer

English

Initial Appointment

Terms and Conditions of Service

English

Initial Appointment

Términos y condiciones de servicio

Spanish

Initial Appointment

关于你的移植的保险信息

Chinese

Patient Education Materials

Introduction: Your Health Matters

English

Patient Education Materials

Programa de transplantes de riñón de la UCSF – Introducción para los pacientes y familias

Spanish

Patient Education Materials

Información sobre el seguro de su trasplante

Spanish

Patient Education Materials

Insurance Information About Your Transplant

English

Patient Education Materials

Tipos de medicamentos inmunosupresoras (antirrechazo) para el transplante

Spanish

Patient Education Materials

Your Health Matters – Types of medications for transplant immunosuppression (Anti-Rejections)

English

Patient Education Materials

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