This information will not be shared with the patient and in no way will obligate you to donate. After you click submit, you will be redirected to the webpage of the patient's transplant center where YOU SHOULD register in their system.

Do you have high blood pressure or are you being treated for hypertension?

Yes

Are you a diabetic?

Yes

Have you had cancer within the last three to five years?

Yes

Do you have any chronic health conditions?

Yes

Thank you for completing the form! Please call the transplant center living donor coordinator program at 914-493-1990.