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The Anatomical Gift Form for the James H. Quillen College of Medicine serves as a vital document for those wishing to donate their bodies after death. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to successfully complete the Anatomical Gift Form.
- Click the 'Get Form' button to obtain the Anatomical Gift Form and open it in your preferred document viewer or editor.
- Begin filling out the form by entering the date on which you are completing the document. Ensure this is accurate to maintain a proper record.
- In the section labeled 'I hereby donate my body, after death, to the James H Quillen, College of Medicine,' clearly indicate your intention. This shows your willingness to donate your body for medical education and research.
- In the fields labeled 'PRINT LAST NAME,' 'FIRST NAME,' and 'MIDDLE NAME,' provide your full name as you would like it to appear in legal documents.
- Select your sex by marking the appropriate box (M or F) to ensure clarity in the documentation process.
- Provide your Social Security number in the specified field, which helps to identify you accurately.
- Fill in your street address, city, state, and zip code to ensure the college can reach you or your next of kin if necessary.
- Sign the document in the 'YOUR SIGNATURE' field, affirming your intention to donate your body.
- Complete the witness section by having two witnesses sign the form. They should also include their names and addresses as required.
- Provide your date of birth in the appropriately designated field.
- Fill in the 'Next of Kin' section with the name, phone number, and full address of your next of kin for communication purposes.
- Indicate your wish regarding the return of your cremated remains by checking either 'returned' or 'not returned,' and provide the contact details for the individual or funeral home responsible for the return.
- Review all the information for accuracy before proceeding.
- Once finalized, you can save your changes, download, print, or share the completed form as needed. Remember to send one copy to the Department of Anatomy and Cell Biology and keep another for your records.
Complete your Anatomical Gift Form online today to ensure your wishes are properly documented.
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The phrase 'I hereby make an anatomical gift' signifies a formal declaration of intent to donate your body after death for educational or research purposes. This statement, included in the Anatomical Gift Form.pdf - Etsu, communicates your wishes to potential recipients clearly. It allows healthcare professionals and educational institutions to utilize your body to advance medical education and training. Understanding this declaration is crucial for both you and your loved ones.
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