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.
- You may also refer a patient by phone: 877-644-2860
Thank you for your interest in the Pancreas Transplant Program at the Massachusetts General Hospital Transplant Center. To refer a patient, please submit the form below and send the required medical documents (PDF).
Patient medical documents will be reviewed within three business days of receipt and you will receive notification of the patient's referral status.
If your patient meets the program criteria, you will receive a letter confirming his/her scheduled appointment. Next available appointments are typically within four to six weeks.
For urgent referrals or transfer requests, call 617-726-2000 and ask the Page Operator to page the transplant surgeon on-call.