Refer a patient to Piedmont

Piedmont Heart Institute

To refer a patient to the Piedmont Heart Institute, visit our Piedmont Heart Institute referral page.

Referral forms

• Advanced heart failure referral form

Piedmont Transplant Institute

To make a referral to Piedmont Transplant Institute, please use the forms below, complete and fax to the number indicated on the form. If you prefer to call to make a referral or have any questions, you can reach Piedmont Transplant at 404.605.4600 or 888.605.5888.

Patient Referrals
Hepatology and Liver Transplant
Phone: 404.605.4600 or 888.605.5888
Fax: 770.916.7648 or 770.916.7649

Kidney and Pancreas Transplant
Phone: 404.605.4600 or 888.605.5888
Fax Numbers: 404.609.6728 or 404.609.6620

Referral forms

• Renal transplant referral form
• Liver disease and transplantation referral form

Transplant criteria documents

• Transplant selection criteria indications - Renal
• Transplant selection criteria indications - Liver
• Transplant selection criteria indications - Kidney
• Transplant selection criteria indications - Pancreas

Piedmont Imaging

To make a referral to the Piedmont Imaging center at Piedmont Atlanta Hospital, call 404.605.3318. Our imaging support staff will assist you with the referral process.