Patient Criteria

Due to HeartGift's mission to enable children to go back home and live uncompromised lives, we have established a set of specific patient criteria (for foreign language translation of this information, please consult the bottom of the home page and click on the appropriate language):

1.
Patient must be 14 years old or younger

2. Patient must have no chromosomal abnormalities

3.
Patient must require a bi-ventricular (single stage) repair

4. Patient must live in a developing country with inadequate access to proper treatment

Guidelines for Patient Referral

If you believe you have a candidate that meets the previous criteria, please send the following information as your referral.

MUST HAVE-

1. Full legal name of the child                        

2. Date of birth                                     

3. Gender

4. Home country

5. Current echocardiogram (sonogram of the heart taken within the past 3 months) on VHS or CD/DVD

STRONGLY ENCOURAGED TO HAVE-                   

1. Living situation/social history (e.g. do they live with both parents? do they have siblings? history of heart disease in the family?)

2. AIDS/HIV test results

3. Oxygen saturation rates

4. Past procedure history (e.g. have they ever had an operation, for what? have they ever had a catherization or shunt?)

ADDITIONAL INFORMATION-exceptionally helpful to us-

1. Vaccination history of the child

2. Chest x-rays

3. Photo of the child

After you have compiled this information, please mail it to:

The HeartGift Foundation
1010 West 40th Street
Austin, TX 78756