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a NewsHour with Jim Lehrer Transcript
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Make Your Wishes Known
This card may be printed out if you would like to be an organ and tissue donor in the case of your death. However, it is essential that your family knows your wishes since they may be asked to sign a consent form to authorize your donation.

To learn how donated organs are distributed in your area, use the contact information provided in our state directory to locate your local organ procurement organization (OPO).

  

 


I would like to be an organ and tissue donor. I want to inform you of my decision because you may be asked
about my position on this issue before donation takes place.

I wish to donate:
____ Any needed organs and tissue
____ Only the following organs and tissue _________________________________________________
__________________________________________________________________________________

Thank you for honoring my wishes to donate my organs and tissue.

Donor Signature ___________________________________________ Date___________________

 


The NewsHour Health Unit is funded by a grant from: Robert Wood Johnson Foundation

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