Documentation

Documentation

What all documentations are required for liver transplantation in a indian patients?

 

Sub: Check list should be the first paper Revised Check list for related /unrelated Indian Nationals for organ transplant. Check list should be the first paper on the top. Please (√) each item. All the pages in the file are to be numbered. The file cover must indicate name of recipient, name of donor and their ID Number and name of Consultant.

The following documents are necessary:

Check List

  1. Forwarding Letter by the Processing Consultant
  2. Approval from the Competent Authority
    Of Artemis health institute for liver transplant
  3. Affidavit on stamp Paper along with attested photo
    (Recipient) pasted on the affidavit signed by SDM /DM
  4. Affidavit on Stamp Paper Along with Attested Photo(Donor)
    Pasted on the affidavit signed by SDM/ DM
  5. Affidavit on Stamp Paper Along with Attested photo
    (Donor’s Close Relative) Pasted on the affidavit signed by SDM/DM
  6. Donor Performa and Recipient Performa.
  7. HLA/DNA typing results to establish relationship,
    In case of parents and siblings.
  8. Duly complied Form-1(Related Donor) Form-2(Spousal Donor), Form-3(UN related Donor) by the patient and countersigned by the Notary Public.
  9. Duly completed Form – 4 by both the processing Consultant and the Surgeon.
  10. In Case of spouse is donating Form-6 For to be filled by competent authority
  11. Case related/unrelated is donating Form-11 is to be completed and signed by
    Processing consultant preferably with rubber stamp.
  12. Psychiatric evaluation (Donor- Artemis health institute)
  13. Document proof of relationship photo identity Card/Ration Card
    – Passport/election Card/ Income-Tax PAN Number/
    Driving License/Government identity card or any other proof like:
    Certificate along with attested photographs from Superintendent of Police/
    District Magistrate/ Deputy Commissioner of their area.
  14. Proof of income of donor and recipient.

 

All the papers in the file must be numbered.

What all documentations are required for liver transplantation in a foriegn nation (international) patients?

 

Sub: Check list should be the first paper Revised Check list for related/unrelated/ Foreign Nationals for Liver Transplant. Check list should be the first paper on the top. Please (√) each item. All the pages in the file are to be numbered. The file cover must indicate name of recipient, name of donor and their ID Number and name of Consultant.

The following documents are necessary:

Check List

  1. Forwarding Letter by the Processing Consultant
  2. Authorization Committee Approval letter
  3. No Objection Certificate Embassy/District Hospital
  4. Affidavit on stamp Paper along with attested photo
    (Recipient) pasted on the affidavit signed by SDM /DM/Embassy
  5. Affidavit on Stamp Paper along with Attested Photo(Donor)
    Pasted on the affidavit signed by SDM/ DM/Embassy
  6. Affidavit on Stamp Paper Along with Attested photo
    (Donor’s Close Relative) Pasted on the affidavit signed by SDM/DM/Embassy
  7. HLA/DNA typing results to establish relationship,
    In case of parents and siblings
  8. Donor Performa and Recipient Performa.
  9. Duly complied Form-1(Related Donor) Form-2(Spousal Donor), Form-3(UN related Donor) by the patient and countersigned by the Notary Public.
  10. Duly completed Form – 4 by both the processing Consultant and the Surgeon.
  11. In Case of spouse is donating Form-6 for to be filled by competent authority
  12. In case related/unrelated is donating Form-11 is to be completed and signed by
    Processing consultant preferably with rubber stamp.
  13. Psychiatric evaluation (DonorArtemis health institute)
  14. Medical Visa
  15. Document proof of relationship photo identity Card/Ration Card
    Passport/election Card/ Income-Tax PAN Number/
    Driving License/Government identity card or any other proof like:
    Certificate along with attested photographs from Superintendent of Police/
    District Magistrate/ Deputy Commissioner of their area.
  16. Proof of income of donor and recipient.

 

All the papers in the file must be numbered.

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