Lung Transplant Referral Checklist

When referring patients to the Lung Transplantation Program at UPMC, please include the information listed below.

Demographic Summary

  • Patient name
  • Patient date of birth
  • Patient address
  • Patient phone number
  • Patient social security number 
  • Emergency contact information (including emergency contact's home and cell phone numbers)

Insurance Information

  • Name of subscriber
  • Subscriber’s relationship to patient
  • Identification number
  • Group number

Clinical Summary

  • Most recent outpatient records
  • Discharge summaries from prior hospitalizations
  • All operative notes, including surgically placed lines
  • Radiologic studies
  • Recent laboratory reports
  • If your patient is currently hospitalized, current hospital records
  • Reports from previous transplant evaluations, including letters of acceptance or decline, if applicable

Referring Physician Information

  • Referring physician name
  • Referring physician phone and fax numbers
  • Primary care physician name

Mailing Address and Contact Information

Mail patient records to:

Cardiothoracic Surgery -- Lung Transplantation
UPMC Presbyterian, Suite C-900
200 Lothrop St.
Pittsburgh, PA 15213
Attn: Lung Transplant Coordinators

For more information or to refer a patient:

  • 24-hour physician referral line: 1-800-544-2500
  • Phone: 412-648-6202
  • Fax: 412-648-6355
  • E-mail: cttransplant@upmc.edu

Contact Us

Contact the Cardiothoracic Transplantation Program by phone at 412-648-6202 or by e-mail at cttransplant@upmc.edu.

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For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

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