Apply to Learn More About Being a DOVE Donor

You are about to take the first step in giving someone the gift of life.

Donors are usually between 21 & 70 years of age and must be healthy and have excellent kidney function. The screening questionnaire below will help us understand if there are any immediate medical issues that may make you ineligible to donate.

Should you decide to complete this form, all of your information will be kept confidential until DOVE obtains your consent to be referred to the transplant center. You will be educated about what to expect regarding the process and you will be supported along the way by the team at DOVE.

Please note that DOVE believes in a zero-pressure approach. You are free to withdraw at any time if you feel that kidney donation is not right for you.

Kindly complete as much of the information as possible if you would like to begin the screening process OR to obtain more information about living donation.

DOVE Donor Screening Questionnaire

Full Name