University of California San Francisco

DNW Lead Procurement Surgeon Credentialing

Donor Network West is northern California’s federally designated organ procurement organization (OPO) serving the northern California communities by connecting organ donors with people in need of a life-saving organ transplant.

Application Form 

  • A copy of surgeon's CV

  • Covid vaccination records

  • Signed Code of Conduct (pg. 16)

  • Case Experience Form (pg. 17)

  • Director Authorization Form (pg. 18)

  • A copy of the Medical license

  • A copy of Certificate of Insurance from UCSF 

Luis Mayen

Vice President, External Affairs and Strategic Partnerships

12667 Alcosta Blvd. Ste. 500, San Ramon, CA 94583

415.672.4842

Email: [email protected]

For procurement observers and CRCs, please feel out the Organ Procurement Liability Waiver form.

Buckeye Transplant Services is our vendor who partnered with UCSF to manage organ offers through Donor Screening, Organ Call Coverage, Transportation Coordination, Donor Management, Facilitation of Organ Recovery and Transplantation processes, and Transplant Patient Calls.

To be added to the Heart and Lung Transplant procurement distribution list, please contact Jared Ackley, President of Buckeye at [email protected]