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UCSF — Kidney Transplant Evaluation
Welcome to the BREEZE TRANSPLANT™ online health history questionnaire.
Please answer all questions truthfully, accurately, and completely, as the information you provide here will be used by our Transplant Team to detect any medical conditions that must be considered during the evaluation process for kidney transplantation.
This questionnaire is considered extremely confidential. Only health professionals on the Transplant Team will use this information.

Health History Questionnaire CLICK HERE