Living Donor Application | Iowa Methodist Transplant Center

UnityPoint Clinic - Express

180 Jordan Creek Parkway, Suite 120
West Des Moines, Iowa 50266

Closed Patients
Waiting Now

UnityPoint Clinic Urgent Care - Altoona

2720 8th St. SW
Altoona, Iowa 50009

Closed Patients
Waiting Now

UnityPoint Clinic Urgent Care - Ingersoll

2103 Ingersoll Ave., Ste. 2
Des Moines, Iowa 50312

Closed Patients
Waiting Now

Urgent Care - Ankeny

3625 N. Ankeny Blvd.
Suite E
Ankeny, Iowa 50023

Closed Patients
Waiting Now

Urgent Care - Lakeview

6000 University Avenue
Suite 101
West Des Moines, Iowa 50266

Closed Patients
Waiting Now

Urgent Care - Merle Hay

4020 Merle Hay Road
Suite 100
Des Moines, Iowa 50310

Closed Patients
Waiting Now

Urgent Care - Southglen

6520 SE 14th St.
Des Moines, Iowa 50320

Closed Patients
Waiting Now

Urgent Care - Urbandale

2901 86th Street
Urbandale, Iowa 50322

Closed Patients
Waiting Now
Living Donor Form | Iowa Methodist Transplant Center

Living Kidney Donor

Thank you for your interest in becoming a living kidney donor at the Iowa Methodist Transplant Center. Please answer the following questions and complete the Living Donor Health History Questionnaire. We will call you after receiving and reviewing your application. Please call us at (515) 241-4044 if you have any questions. 


Sex
Best time to contact *
I am interested in becoming a humanitarian donor *
Do you have someone in mind for your donation? *
Do you smoke?
Do you have problems with blood sugar/diabetes?
Did you have blood sugar problems/diabetes during pregnancy?
Are you currently being treated for High Blood Pressure?
Do you take blood pressure medication?
Were you treated for High Blood Pressure during pregnancy?
Do you have heart problems?
Do you have a history of kidney stones/problems?
Do you have a history of urine/kidney infections?
Have you ever had cancer?
Do you have any religious beliefs that would prohibit you from accepting blood if needed?