Get "be The Match" Donor Consent Form

Completing the "Be The Match" donor consent form is a crucial step in becoming a part of the registry. This guide will walk you through the process, ensuring you understand each section and can complete it accurately and confidently.

Follow the steps to complete the donor consent form online.

1. Press the 'Get Form' button to access the donor consent form in the online editor.
2. Read the introduction thoroughly. It provides essential information about your role as a potential donor and the significance of your commitment.
3. Complete the personal information section. Fill in your last name, first name, age, birth date, and social security number (note: not providing your social security number may limit the ability to locate your updated contact information).
4. Provide your contact details, including your email address, home telephone, cell phone, and mailing address. Ensure that you include your current permanent address if it differs from the mailing address.
5. Fill in the race and ethnicity information to assist in the donor search process. Select your ethnicity and any applicable racial groups.
6. Complete the employer information section with your company name and address, if applicable, as well as your spouse's details if necessary.
7. List two contact persons who do not live with you and who can be reached in the future. Include their names, phone numbers, and relationship to you.
8. Read and respond to the medical evaluation questions. Your answers will be kept confidential but are necessary to ensure the safety of both you and any potential transplant recipients.
9. Review the section outlining the invitation and purpose of your registration, which further explains your responsibilities as a potential donor.
10. Carefully read the terms of consent and confirm your understanding by providing your signature and today's date at the end of the form.
11. Once you have filled out all sections of the form, review your answers for accuracy. Then, save any changes, download a copy for your records, or print the completed form if required.

Take a moment to fill out the "Be The Match" donor consent form online today and potentially save a life.