Refer a Child

Despite concerns surrounding COVID-19, HeartGift’s Medical Committee continues to review applications for children in need of life-saving heart surgery however the review process is being delayed.  If you have questions about the status of a submitted application, please contact [email protected]

PLEASE CLICK BELOW TO REVIEW & DOWNLOAD REQUIREMENTS BEFORE FILING OUT APPLICATION

HeartGift Referral and Application Checklist-PDF

Step 1 of 7

  • HeartGift's medical selection criteria includes:
    • The child be 14 years old or younger
    • Not have undergone previous cardiac surgery
    • Have a biventricular condition that can be repaired in one operation.
    • Have no chromosomal abnormalities.
    • Have an urgent need for surgery
    • The child lives in a developing country without access to proper treatment.
    I hereby certify that all known and/or discernible health conditions are disclosed in the referring documents, e.g. suspected chromosomal disorders or other syndromes, immune deficiency, and any other diseases.
  • Date Format: MM slash DD slash YYYY
    By signing my legal name above, I acknowledge that I have read and understand the policies as contained herein.
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