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 (e.g. downs syndrome, AIDS, etc.)
3. Patient must require a bi-ventricular (single stage) repair
4. Patient must live in a developing country with inadequate access to proper treatment
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
|
