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Director Registration

Please have the OPTN approved Program Director (surgeon or physician) complete this registration form for your live donor program. The program director is required to attest that your transplant program is in good standing with the OPTN. Check only those organs for which you are the OPTN approved Program Director.



 
Living Donor Program: (check all that apply)
  
  
  
  
 
ATTESTATION OF MEMBERSHIP AND PROFESSIONAL STANDARDS COMMITTEE (MPSC) STANDING
I hereby certify that the transplant program for which reimbursement of living donor expenses is being requested in this registration is in good standing with the Organ Procurement and Transplantation Network (i.e. is not currently considered a Member Not in Good Standing).
 
 

Potential Donors

If you are considering organ donation, NLDAC may be able to lessen the burden of travel expenses. View the NLDAC Eligibility Screening Tool for NLDAC household income requirements. To learn more about the application process, read the NLDAC brochure "How to Apply" in English or Spanish.

More information

Transplant Centers

Join NLDAC in its mission to reduce financial disincentives to living donation. Please print a NLDAC poster and place it in your kidney transplant clinic or your local dialysis clinic. If you would like us to mail you posters or brochures, please complete this request form. If you would like to learn about the application process, click on the link below.

Application Process

Organ Donor
University of Arizona
ASTS
Arbor Research Collaborative for Health
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