Page 4 - Liver patient passport
P. 4
Healthcare team
Use this page to list all relevant information
related to members of your healthcare team.
Complete the details below to ensure that your passport is returned to you
in the event that you lose it. It will also help healthcare team members to understand
the type of management that you are receiving for your condition.
Hospital name and
contact details
Consultant name
and contact details
I am on a transplant
waiting list Yes No
Transplant Centre name
and contact details
Transplant Coordinator
contact details
Team member Name and contact number
GP
Carer/Next of kin
Specialist nurse
Community nurse
Dietitian
Social worker
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