Refer a Patient: Pancreas Transplant Program

You may refer by phone: 877-644-2860

Please fill out the form below to refer a patient for a kidney/pancreas transplant or a pancreas after kidney transplant. One of our intake coordinators will contact you within three business days.

Thank you for your interest in the Pancreas and Kidney Transplant Programs at the Massachusetts General Hospital Transplant Center. To refer a patient, please submit the form below and send the required medical documents:

  1.  - Recent history of physical exam (include height and weight or BMI)
  2.  - Recent hospital discharge summary if the patient has been hospitalized in the last year
     - Send medical documents by fax to 617-726-0822 or scan and email to 

Please note: Security and confidentiality of email transmission is uncertain. The risk of data disclosure due to email transmission must be assumed by the sender.

Patient medical documents will be reviewed within three business days of receipt and you will receive notification of the patient's referral status.

For urgent referrals or transfer requests, call 617-726-2000 and ask the Page Operator to page the transplant surgeon on-call.

Back to Top