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REVOCATION OF ANATOMICAL GIFT, 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 Arizona Statutes 36845
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How to fill out revocation of anatomical gift

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How to fill out revocation of anatomical gift

01
Begin by clearly stating your intention to revoke an anatomical gift.
02
Include your full name and contact information.
03
Provide the name of the person who made the original anatomical gift.
04
State the date of the original anatomical gift.
05
Give a detailed explanation of why you are revoking the gift.
06
Sign and date the revocation document.
07
Make copies of the revocation for your records and anyone else who may need it.

Who needs revocation of anatomical gift?

01
Anyone who has previously made an anatomical gift and wishes to revoke it.

What is Revocation of Anatomical Gift Donation - Arizona Form?

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Revocation of anatomical gift refers to the process of withdrawing consent for the donation of one's organs or tissues after a gift has been made. This may occur for various personal, religious, or medical reasons.
The individual who originally made the anatomical gift, or their legally authorized representative, is required to file the revocation of anatomical gift.
To fill out a revocation of anatomical gift, the individual must complete a designated form or document that clearly states the intention to revoke the gift, sign it, and date it. It may involve providing personal identification information as well.
The purpose of revocation of anatomical gift is to allow individuals the right to change their minds about organ or tissue donation, ensuring that their personal wishes are respected even after initially consenting.
The revocation must include information such as the donor's name, date of birth, the original gift details, the date of revocation, and the signature of the person revoking the gift.
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