Make a Referral
To create an Electronic Referral, please complete the form below. All fields are required.
When submitting the referral, please be aware of the following:
- IIAM is accepting Back Up offers for LIVER ONLY at this time.
- O.R. time allows IIAM to utilize the researcher’s CIT requirements. If O.R. is estimated, please clarify in “case notes” section.
- Please call IIAM directly with any Neonatal offers.