Make an eReferral
To create an Electronic Referral, please complete the form below. All fields are required.
IMPORTANT: Please only click the SUBMIT button once.
When submitting the referral, please be aware of the following:
- IIAM is accepting Back Up Offers for ALL organs and tissue for research.
- 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.
- Please only click the SUBMIT button once.