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Donor Questionnaire

We thank you for your willingness to begin the process towards kidney donation.
Kidney donation is only possible for very healthy people, so that kidney donation will be at the minimum possible risk.
In order to see if you can start the donation process, we ask you to fill out the short questionnaire below:

Did you have:

For women who gave birth - did he have:

X

Thank you!

We have received your inquiry and will get back to you soon ❤️

If you have filled out the form and would like to receive urgent medical treatment, please call us!

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