NW2 Transplant QIA 6 Step Reporting Tool for 2019

This information is due on the last day of the reporting month.

First & Last Name:

Email Address:

Step 0 (unknown)

Step 1 (Interest in transplant)

Step 2 (Referral call to transplant center)

Step 3 (First visit to transplant center)

Step 4 (Work-up process)

Step 5 (Successful candidate)

Step 6 (On waitlist)

Step 6 (being evaluated for living donor)

Please click on the "DONE" box below to submit your responses.
Thank you for completing the monthly Transplant QIA Step Report.

We appreciate your time and effort.
Quality Improvement Team

IPRO ESRD Network of New York