Get Anatomical Gifts Application - University Of Alabama At Birmingham - Uasom Uab

Filling out the Anatomical Gifts Application is an important step for individuals wishing to contribute their body to medical education and research. This guide provides detailed, step-by-step instructions to help you complete the application accurately and effectively.

Follow the steps to successfully complete the Anatomical Gifts Application

1. Press the ‘Get Form’ button to access the Anatomical Gifts Application form and open it in your preferred form editor.
2. Begin filling out your personal information. Enter your full name, including your maiden name if applicable, and provide your street address, city, state, and zip code.
3. Include your contact information by filling in your telephone number, cell phone number, and any additional phone numbers.
4. Next, provide the information for your next-of-kin. Include their full name, street address, relationship to you, city, state, and zip code.
5. Fill out the next-of-kin's contact details, including their telephone number, cell phone number, and any other phone numbers.
6. Two witnesses must sign the application. Each witness should print their name and address clearly. Ensure that their signatures are given in your presence.
7. Date the application by writing the day and month in the designated area, and add your signature as the donor.
8. Indicate whether you agree to have your body transferred to another medical institution for study by selecting 'Yes' or 'No'.
9. If applicable, complete the ashes disposition section, indicating your preferences regarding the return of remains or interment.
10. Review your completed application for accuracy and clarity before saving your changes. You can then download, print, or share the form as necessary.

Complete your Anatomical Gifts Application online today to ensure your wishes are known.