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REVOCATION OF ANATOMICAL GIFT I, Declaring, having made an anatomical gift by virtue of that document of gift dated the day of, 20, do hereby revoke such gift pursuant to the California Health and
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How to fill out revocation of anatomical gift
How to fill out revocation of anatomical gift
01
Obtain a revocation of anatomical gift form from a healthcare facility or organization.
02
Read and understand the instructions provided on the form.
03
Provide your personal information, including your full name, date of birth, and contact details.
04
Specify the details of the anatomical gift you wish to revoke, such as the date it was made and any identification numbers associated with it.
05
Sign and date the revocation form in the presence of a witness. The witness should also provide their name and contact information.
06
Submit the completed revocation of anatomical gift form to the appropriate healthcare facility or organization.
07
Make copies of the form for your records.
08
Keep a copy of the revocation form with your important documents or provide a copy to your designated healthcare proxy or legal representative.
Who needs revocation of anatomical gift?
01
Anyone who has previously made an anatomical gift and wishes to revoke it.
02
Individuals who have changed their mind about donating their organs or body for medical research purposes.
03
Those who have found alternative options or have personal reasons for no longer wanting to make an anatomical gift.
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