subject_line
Kidney Imports ARORA DSA
Date of Import (can use date of organ acceptance or arrival to your transplant center)
*
+
Transplant Center
*
ARCH
ARBH
ARUA
UNOS #
*
Offering OPO: (Please use 4 Letter OPO code)
*
Donor KDPI (found on Donor Summary in UET)
*
KDPI 0% to 20%
KDPI 21% to 35%
KDPI 35% to 85%
KDPI 86% to 100%
CPRA of accepting recipient:
*
0-ABDR mismatch offer:
*
YES
NO
Points kidney offer:
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YES
NO
Local back up given:
*
YES
NO
ARORA ran match-run:
*
YES
NO
N/A
Person completing form:
*
Email address:
*
Additional Comments:
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