Give the Gift of Life: Become An Organ Donor
(A Resource of the Diabetes Prevention Program)
The Gift of Life:
Organ Donation and Transplant
Organ Donation and Transplant Facts
- A single donor can help more than 50 people. In
addition to kidneys, you can donate:
- Heart
- Pancreas
- Skin
- Heart valves
- Lungs
- Liver
- Tendons
- Intestines
- Corneas
- Bone
- You may specify the organs and tissues that you would like to donate.
- Nearly anyone can be an organ or tissue donor.
- Donation costs nothing to the donor’s family or estate.
The MOST IMPORTANT PART of deciding to be a donor is to SHARE YOUR DECISION WITH YOUR FAMILY.
Sharing your decision to be a donor now will prevent confusion or uncertainty about your wishes at the time of your death.
Complete and give to your family:
Dear _______________________________________________________
I would like to be 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 tissueonly the following organs and tissues: ___________________________________________________________
___________________________________________________________
Thank you for honoring my commitment to be an
organ and tissue donor.
Donor Signature Date
Complete and keep in your wallet:
any needed organs and tissue
only the following organs and tissues:
__________________________________________________
Donor Signature______________________ Date___________
Witness____________________________________________
Witness____________________________________________
Organ Donation and Transplant:
You Can Make
A Difference
Page last updated: November 14, 2011