Cleveland Clinic

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Become a Living Donor

This website is for Cleveland Clinic Ohio Living Kidney Donors. Are you interested in being a kidney living donor for a recipient at Cleveland Clinic Florida? Please click the Florida Kidney Transplant Program.

Kidney Transplant Program

Cleveland Clinic’s Transplant Center can help.

Cleveland Clinic's Kidney Transplant Program is comprised of many of the nation’s leading specialists and is consistently ranked among the best in the nation.

Cleveland Clinic is ranked as one of the nation's top hospitals by U.S. News & World Report.

Cleveland Clinic provides kidney transplant patients with world-class care and emotional support through the entire transplant process.

  • Donor Info
  • Health Info
  • Medical History
  • Family History
  • High Risk
Demographics

Emergency Contact

Kidney Recipient

Covid-19 Vaccine

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Health Information

Health Insurance

While providing your SSN is optional, it can help us identify new patients and insurance information.
Health History

Anxiety    
Bipolar Disorder    
Suicide Attempts    
Depression    
Hospitalizations for Psychiatric Problems    
Tobacco / Alcohol / Marijuana

Misc History

Family History

Does anyone in your family have a history of the following:

Mother    
Father    
Sister    
Brother    
Other    

Mother    
Father    
Sister    
Brother    
Other    

Mother    
Father    
Sister    
Brother    
Other    

Mother    
Father    
Sister    
Brother    
Other    

Mother    
Father    
Sister    
Brother    
Other    

Mother    
Father    
Sister    
Brother    
Other    

Misc

In the past 30 days, have you:

Cleveland Clinic

For General Help Regarding Intake Questionnaire, Call 216.636.2049

Kidney Transplant Center

  • CCF Kidney Living Donor
  • Transplant Living Donor Office 216.445.3150

General Transplant Information

  • Transplant Center
  • Transplant Programs

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