Referral forms, helpful documents and phone numbers for healthcare professionals are available below.
 

Piedmont Heart Institute

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

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.