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ANATOMICAL GIFT REGISTRY APPLICATION FORM
Medical College of Wisconsin
Department of Cell Biology, Neurobiology and Anatomy
8701 Watertown Plank Road, Milwaukee, Wisconsin 53226
Phone: (414) 9558261
Fax:
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How to fill out anatomical gift registry application

How to fill out anatomical gift registry application
01
Obtain an anatomical gift registry application form from your local organ procurement organization or a designated government agency.
02
Read the instructions provided with the application form carefully before filling it out.
03
Fill in your personal information accurately, including your full name, contact details, and address.
04
Provide any required identification information, such as your driver's license or social security number.
05
Indicate your explicit intent to become an organ or tissue donor by checking the appropriate box or providing a written statement.
06
Specify any specific organs, tissues, or body parts you wish to donate, if applicable.
07
Sign the application form in the designated area, and date it.
08
Submit the completed application form to the organ procurement organization or designated government agency either by mail or in person.
09
Keep a copy of the application form for your records and ensure that someone close to you is aware of your decision to become an organ donor.
10
Follow up with the organ procurement organization or agency to confirm the receipt of your application and address any further instructions.
11
Periodically review and update your anatomical gift registry application as necessary.
Who needs anatomical gift registry application?
01
Anyone who wishes to make a legally-binding decision to donate their organs, tissues, or body parts upon their death needs an anatomical gift registry application.
02
This application is necessary for individuals who want to ensure that their wishes regarding organ and tissue donation are honored.
03
It is particularly relevant for individuals who have specific preferences regarding which organs, tissues, or body parts they wish to donate or if they want to exclude certain organs or tissues from donation.
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What is anatomical gift registry application?
An anatomical gift registry application is a form used to indicate a person's wish to donate their body or organs for medical research or transplantation after death.
Who is required to file anatomical gift registry application?
Any individual who wishes to donate their body or organs after death is required to file an anatomical gift registry application.
How to fill out anatomical gift registry application?
To fill out an anatomical gift registry application, one must provide personal information, specify which organs or body parts they wish to donate, and sign the form.
What is the purpose of anatomical gift registry application?
The purpose of an anatomical gift registry application is to ensure that a person's wishes regarding organ donation are known and respected after their death.
What information must be reported on anatomical gift registry application?
The information reported on an anatomical gift registry application typically includes the individual's name, contact information, organ donation preferences, and signature.
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