Refer a Patient
To refer a patient for liver transplant evaluation, please call 1-855-EMORY-TX (855-366-7989), Mon–Fri 8 a.m. – 4:30 p.m.
The following items are required for a liver transplant referral to be processed:
- Completed Referral Form
- Completed Referral Checklist
- Recent History & Physical exam
- Liver biopsy slides (if available)
- Recent labs (within last 3 months)
- Recent abdominal imaging/scans/EGD
- Copy of patient's insurance card
These items can be faxed to 404-712-2769. If you have questions or need additional information, please call our Liver Transplant Referral Coordinator directly at 404-712-2351.
- End-stage liver disease and acute liver failure
- Absence of serious systemic illness and other medical conditions that may affect immediate or long-term survival
- Full understanding of transplant procedure, its limitations and the long-term follow-up requirements
- Strong social support network
- Free from active nicotine use and drug and alcohol abuse
All patients referred for liver transplant consideration will first be evaluated by the nurse coordinator. Following this preliminary review, qualifying patients are scheduled for a hepatology consultation.
Patients who do not qualify for transplantation at the time of referral may be given the opportunity to fulfill eligibility criteria and undergo reevaluation at a later time.
- Presence of irreversible liver disease and a life expectancy of less than 12 months, with no effective medical or surgical alternatives to transplantation.
- Chronic liver disease that has progressed to the point of significant interference with the patient’s quality of life or ability to work.
- Progression of liver disease that is expected to result in a mortality rate greater than that of transplantation (85% one-year patient survival and 70% five-year patient survival)
- Cholestatic diseases, including primary biliary cirrhosis, sclerosing cholangitis, secondary biliary cirrhosis, biliary atresia and cystic fibrosis.
- Chronic hepatitis, including hepatitis B, hepatitis C, hepatitis D, autoimmune chronic active hepatitis, cryptogenic cirrhosis, chronic drug toxicity or toxin exposure.
- Alcoholic cirrhosis – patients with alcoholic cirrhosis are considered for transplant if they meet current criteria for abstinence and rehabilitation.
- Metabolic diseases, including hemochromatosis, Wilson’s disease, Alpha-1 Antitrypsin Deficiency, glycogen storage disease, tyrosinemia, familial amyloidotic polyneuropathy and other metabolic disorders treatable by liver replacement.
- Fulminant acute hepatic necrosis, including viral hepatitis, drug toxicity, toxins, Wilson’s disease.
- Primary hepatic tumors, including select patients with hepatocellular carcinoma and cholangiocarcinoma.