For Physicians

Transplant Program Referral Checklists

The Transplant Referral Information Form and patient records related to the appropriate referral checklist may be faxed to 901-226-2010 (Attn: Transplant Services) or mailed to the address below.

Please call 901-226-2000 with any questions.

Mailing Address
Baptist Memorial Hospital-Memphis
Attn: Transplant Services
6025 Walnut Grove Road, Ste. 207
Memphis, TN 38120

Lung Transplant Referral Checklist

  • Patient name, address and phone number
  • Patient height and weight
  • Date of birth
  • Recent history and physical and/or discharge summary
  • Most recent pulmonary function tests
  • Insurance information
  • Referring physician's name, address, phone number and fax number

Heart Transplant/VAD Referral Checklist

  • Patient name, address and phone number
  • Patient height and weight
  • Date of birth
  • Recent history and physical and/or discharge summary
  • Most cardiac test results such as heart caths, echos, and EKGs.
  • Insurance information
  • Referring physician's name, address, phone number and fax number

Contact Us

Baptist Transplant Program

Address
6025 Walnut Grove Rd.
Suite 207
Memphis, TN 38120

Phone
901-226-2000

FAX
901-226-2010
Attn: Transplant Services

Directions
Driving directions to Baptist Memphis.

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