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Links:
Death To Dust: What Happens To Dead Bodies?
Grave Words: Notifying Survivors About Unexpected
Deaths
Death Investigation: The Basics
Ethics In Emergency Medicine
ORGAN
AND WHOLE-BODY DONATION CARDS
From:
Iserson KV: Death To Dust: What Happens To Dead Bodies? Second Edition
Galen Press, Ltd. Tucson, AZ, 2001, 821 pages.
TELL
YOUR NEXT OF KIN ABOUT YOUR WITH TO DONATE-IT WILL
PROBABLY BE THEIR DECISION, EVEN IF YOU COMPLETE THESE CARDS!!
UNIFORM
DONOR CARD-Front and Back
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This
card is a legal document under the Uniform Anatomical Gift
Act or
similar laws, signed by the donor and the following two
witnesses in the
presence of each other.
________________________________________________
DONOR'S SIGNATURE
________________________________________________
DONOR'S DATE OF BIRTH CITY & STATE
________________________________________________
WITNESS WITNESS
________________________________________________
NEXT OF KIN TELEPHONE NUMBER
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________________________________________________
PLEASE TYPE OR PRINT FULL NAME OF DONOR
In
the hope that I may help others, I hereby make this gift
for the purpose of transplant, medical study or education,
to take effect upon my death.
I
give: []Any needed organ or tissue [] Only the following
organs/tissues:
________________________________________________
SPECIFY THE ORGAN(S) TISSUE(S)
________________________________________________
________________________________________________
LIMITATIONS OR SPECIAL WISHES IF ANY
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EXAMPLE:
WHOLE-BODY DONATION CARD
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WHOM IT MAY CONCERN:
This
is to certify that I have donated my body to The University
of Arizona, College of Medicine, Department of Cell Biology
& Anatomy, for anatomical study and scientific purposes.
In the event of my death, please call immediately (520)
626-1801 or (520) 694-6000 Pager #1544, for instructions
on handling and transportation. No embalming is to be performed
except by the University. I have agreed to the conditions
of acceptance contained in the "Certificate of Donation"
issued by the Department of Cell Biology & Anatomy.
________________________________________________
Signature
________________________________________________
Enrollment Date
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EXTRAS
