Bioethics Issue

Donate Life Your Organ and Tissue Donor Card

Your Family Notification Card

This card should be completed and given to your family members or next-of-kin so that there is no question about your decision to be a donor. It is very important that your family understand your wishes and also for you to understand the wishes of your loved ones.

For more information visit www.DonateLife.net

DATE

FAM I LY N OT I F I C AT I O N F O R M SM

Dear ,

I would like to donate LIFE by being an organ and tissue donor. I want you to know my decision because you will be consulted before donation can take place.

I wish to donate the following:

any needed organs and tissue

only the following organs and tissue:

Thank you for honoring my commitment to donate LIFE through organ and tissue donation.

(family)

M Y C O M M I T M E N T T O D O N AT E L I F E U N I F O R M D O N O R C A R D

I, , have spoken to my family about organ and tissue donation. The following people have witnessed my commitment to be a donor. I wish to donate the following:

Any needed organs and tissue Only the following organs and tissue:

DONOR SIGNATURE

WITNESS

WITNESS

DATE DONOR SIGNATURE

You can indicate your wishes to be a donor by signing and carrying this donor card. It is considered a legal document for people age 18 and older. However, in the event of your death, your family or legal next-of-kin will be asked to give consent for donation. Ask family members to witness the card and be sure to discuss your wishes with them.