Request an Appointment
For current and prospective patients interested in more information about xenotransplantation at MGH, please visit www.mghxenotransplant.org.
To ensure a smooth and expedited intake process:
Please call Mass General registration at 866-211-6588, Monday-Friday, 8:00 am to 5:00 pm ET.
Please be sure to request that your nephrologist or primary care provider submit the following required documents via fax: 617-726-0822.
- 2728 CMS ESRD form (if on chronic dialysis)
- Recent nephrologist visit note
- Recent ED discharge summary
- Pertinent test results (e.g., kidney biopsy)
- Insurance information
Please use this form only if:
- You have never been a patient in the Kidney Transplant Program, OR
- You have been a patient in the Kidney Transplant Program but are seeking an appointment with a new clinical area or doctor
Important note: Some questions on this form may appear or disappear based on your responses.
* indicates a required field.
About Your First Appointment
Your first appointment with the Kidney Transplant Program will be a comprehensive pre-transplant evaluation that includes medical and surgical consultations, laboratory tests and specialized procedures to determine if you are a candidate for transplantation. Before we can schedule your pre-transplant evaluation, you will need to do the following:
- Submit the secure form above
- Obtain a Mass General Medical Record Number (MRN) — If you have not received care at Mass General in the last six months, or if you have never received care at Mass General, please call 1-866-211-6588 (toll free) to verify your information and/or obtain an MRN
After you submit the form, a kidney transplant nurse coordinator and a transplant nephrologist will review your information and call you back with the information you’ll need to make an appointment. You may also speak with a representative directly Monday–Friday, 8:00 am to 4:00 pm EST by calling 877-644-2860.
Download a PDF of the Kidney Transplant Program Roadmap >