This Revocation of Anatomical Gift Donation form is a revocation of Form AZ-P025 that designates the body parts and organs an individual wishes to donate at the time of death. Specific reference is made to the earlier executed Anatomical Gift Donation.

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This document serves as a written revocation of an anatomical gift previously made by the declarant, in accordance with Arizona Statutes §36-845. It outlines the requirements for revocation and includes
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How to fill out revocation of anatomical gift

How to fill out Revocation of Anatomical Gift
01
Obtain the Revocation of Anatomical Gift form from a medical office or legal resource.
02
Carefully read the instructions on the form to understand the requirements.
03
Fill in your personal information, including name, address, and any identifiers related to the anatomical gift.
04
Clearly state your intention to revoke the anatomical gift in the provided space or section of the form.
05
Sign and date the form to authenticate your request.
06
Provide any required witnesses' signatures if necessary, as per the form's guidelines.
07
Submit the completed form to the appropriate state registry or organization as specified in the instructions.
Who needs Revocation of Anatomical Gift?
01
Individuals who have previously made an anatomical gift and now wish to revoke it.
02
Family members or legal representatives of a person wanting to revoke an anatomical gift.
03
Healthcare professionals or institutions responsible for handling anatomical gifts.
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People Also Ask about
What does anatomical gift mean?
The Uniform Anatomical Gift Act of 1968 The Act was the first legislation enacted by all states in United States to address the donation of organs, tissues, and eyes as gifts to someone who may be in need of an organ for survival.
What is an example of the Uniform Anatomical Gift Act?
For example, a gift received by a medical school must be used for research or for the improvement of the medical field, while a gift given to an individual must be used for his or her medical treatment or tissue transplant. Section 4 of the Act explains how to enact an anatomical gift.
What is the revocation of gift?
A gift will be revoked if it was not made with the free consent of the donor. A gift may also be revoked in any of the cases in which if it were a contract, it might be rescinded.
What does "I hereby make an anatomical gift" mean?
Anatomical gifts. Short title. Public Law 91-268. AN ACT To authorize, in the District of Columbia, the gift of all or part of a human body after death for specified purposes.
How do you make an anatomical gift?
For example, a gift received by a medical school must be used for research or for the improvement of the medical field, while a gift given to an individual must be used for his or her medical treatment or tissue transplant. Section 4 of the Act explains how to enact an anatomical gift.
What does "I hereby make an anatomical gift" mean?
Any competent person 18 years of age or older can donate their body for medical education and research. You can make your wishes known by completing an Anatomical Gift Declaration of Consent. This does not require the services of a lawyer or notary. The form must be signed by two witnesses.
What do anatomical gifts mean?
An “anatomical gift” is a donation of all or part of a human body, after death, for the purpose of transplantation, therapy, research, or education.
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What is Revocation of Anatomical Gift?
Revocation of Anatomical Gift is a legal process that allows a person to withdraw or cancel their previously made decision to donate their organs or tissues after death.
Who is required to file Revocation of Anatomical Gift?
The individual who originally made the anatomical gift or their legal representative is required to file for revocation.
How to fill out Revocation of Anatomical Gift?
To fill out a Revocation of Anatomical Gift, one must complete the designated form, providing necessary details such as the donor's identification, statement of revocation, and the date of revocation.
What is the purpose of Revocation of Anatomical Gift?
The purpose of Revocation of Anatomical Gift is to ensure that an individual’s wishes regarding organ and tissue donation are accurately represented and respected if they change after initially consenting.
What information must be reported on Revocation of Anatomical Gift?
The information that must be reported includes the donor's name, the date of the revocation, a statement clearly indicating the intention to revoke the gift, and any identifying information as required by the relevant authority.
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