Cadaver Liver Transplantation Waiting List Pre-Operative Recipient Workup Form

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Relevant PMH & Medication:
 
Clinical Data
Problem List:
Child-Pugh Score
( A=5-6; B=7-9; C=10-15 )
Personal H/O
 
Security Code