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Donation After Circulatory Death (09/2017) PURPOSE A. To assure that families of all potential donors are informed of their options to donate organs, tissues, and eyes. B. To honor the patients prior

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01

To fill out a statement on a controlled organ, follow these steps:

02

Begin by providing your personal information, including your name, address, contact number, and email address.

03

Identify the controlled organ you are making a statement about. Provide details such as its name, location, and function.

04

Provide a detailed account of the issue or concern you have regarding the controlled organ. Clearly explain the reasons behind your statement.

05

Include any evidence or supporting documents that validate your claims. This can include photographs, videos, or official reports.

06

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07

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08

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09

Keep a copy of the statement for your records in case further action or follow-up is needed.

Who needs statement on controlled organ?

01

Any individual or group who has concerns or issues related to a controlled organ may need to fill out a statement. This can include citizens, residents, community organizations, advocacy groups, or even government entities. The statement serves as a formal way to communicate grievances, suggestions, or demands related to the function or activities of the controlled organ.

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