Living Donor Evaluation Form

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Living kidney donors save lives and help improve another person’s quality of life for years to come. While a potential donor frequently has a connection to the recipient – such as family or friend – a donor may not know the recipient at all. Non-directed donors come forward every year to donate because they feel called to help after learning about someone in need of a kidney transplant.

To learn more about living kidney donation and the dedicated team that supports living donors throughout their journey, please review the living kidney donation guide.

To donate a kidney, the process begins by submitting the confidential online donor evaluation form below or by calling an IU Health living donor nurse coordinator at 800.382.4602. All communication between the transplant center and a potential donor is confidential.

For more information about the living kidney donation program, call 800.382.4602 or email transplantinfo@iuhealth.org.

Demographic Data

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Medical History