A representative from the Baystate Health Adult Kidney Transplant Program will contact you.
Next Step: Send Patient Forms
Now that you have submitted your referral, please fax or email the following information:
1. GFR <20 documentation (if applicable)
2. Form 2728 (if applicable)
3. Documentation of Health Screenings:
- Colorectal screening if >45 years and <75 years
- Mammogram within a year of referral for women >45 years – 54 years
- Mammogram within 2 years of referral for women >55 years
- Cervical cancer screening for all women between 25-65 years (any of the following)
- Primary HPV test within 5 years of referral
- Co-test (HPV and PAP) within 5 years of referral
- Pap test within 3 years of referral
Email or Fax Documents
If you have any questions, please contact 413-794-2321.