Kidney Transplant Referral | Iowa Methodist Transplant Center

UnityPoint Clinic - Express

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

00 Patients
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UnityPoint Clinic Urgent Care - Altoona

2720 8th St. SW
Altoona, Iowa 50009

00 Patients
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UnityPoint Clinic Urgent Care - Ingersoll

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

02 Patients
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Urgent Care - Ankeny

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

05 Patients
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Urgent Care - Lakeview

6000 University Avenue
Suite 101
West Des Moines, Iowa 50266

02 Patients
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Urgent Care - Merle Hay

4020 Merle Hay Road
Suite 100
Des Moines, Iowa 50310

03 Patients
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Urgent Care - Southglen

6520 SE 14th St.
Des Moines, Iowa 50320

06 Patients
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Urgent Care - Urbandale

2901 86th Street
Urbandale, Iowa 50322

03 Patients
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Referral Information for a Kidney Transplant | UnityPoint Health - Des Moines

Kidney Transplant Referral

You can be referred to the Iowa Methodist Transplant Center for an evaluation by your nephrologists, dialysis unit or a self-referral.

To begin the referral process, please complete the required forms below and either fax or mail the forms back to the Transplant Center. These forms must be completed and sent back to the Transplant Center before an evaluation will be scheduled.

Mail:
Iowa Methodist Transplant Center
1215 Pleasant Street, Suite 506
Des Moines, IA 50309

Fax:
(515) 241-4100

Required Forms

Authorization for Release of Health Information
Health History Questionnaire
Doctor Contact Form
Dental Clearance Form
Dental Clearance Form (Spanish)
Informed Consent for Kidney Transplant Recipient
Informed Consent for Kidney Transplant Recipient (Spanish)