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Final request for kidney transplant

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Full Name: *

First

Last

Date of Birth: *

Gender: *

Email: *

Phone: *

Country of residence: *

Blood Type: *

Previous transplant experience:

No
Yes

Current Medications:

Medical documents and records:

Click or drag files to this area to upload.You can upload up to 10 files.

Choose Your package: *

Economic in Iran- 51,000$
Economic in Turkey - 61,000$
Premium in iran - 59,000$
Premium in Turkey - 69,000$
VIP in Iran - 68,000$
VIP in Turkey - 82,000$

How to contact you: *

Email
Phone Call
WhatsApp
Skype
Line

The fastest way for our experts to communicate with you is to use WhatsApp or email.

The desired time range for the start of the operation:

Choose this option only if you are ready to perform the operation in the next 5 to 15 days

Choose this option only if you are ready to perform the operation in the next 10 to 30 days

Patient's ID card or Passport:

Click or drag a file to this area to upload.

By submitting this form, I acknowledge that:

I have read and understood the conditions for requesting a kidney transplant.
I am financially prepared to cover the costs of the transplant.
I am ready to proceed with the transplant within the specified timeframe.

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Home
Specialties
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Support Services
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Organ Transplant
About us
Contact us
English

Home
Specialties
Packages
Support Services
- Finance and Insurance Information
- Prices
Organ Transplant
About us
Contact us
English

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