Become a Donor

Living Donor

You can learn more about Trinity Health’s Kidney Transplant Program by reading this guide (PDF, 229KB), which includes information on donor criteria, evaluation and testing, and donor surgery. For more information, please call our living donor team at 616-685-6899 or via email at donor@trinity-health.org.

If you are interested in becoming a donor, you can choose either of the 2 options below to begin the referral process:

1) Print and complete the 3 forms below and mail, email or fax to:

Trinity Health Grand Rapids
Kidney Transplant Center
Attn: Living Donor Team
200 Jefferson Ave SE
Grand Rapids, MI 49503
Fax: 616-685-8979
Email: donor@trinity-health.org

Donor Forms

• Authorization to Use or Disclose Protected Health Information (PDF, 131KB)
• Donor Personal History Form (PDF, 193KB)
• Living Donor Evaluation Consent (PDF, 82KB)

2) Complete the intake online

Online Intake