Get Medcure F-101m 2019-2025

Filling out the MedCure F-101M online is an important step for individuals who wish to donate their bodies for medical research and education. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the MedCure F-101M online.

1. Click ‘Get Form’ button to access the MedCure F-101M form and open it in the designated online editor.
2. Begin by providing the donor’s full legal name as it appears on their Social Security records, including any suffixes such as Jr. or II.
3. Indicate whether the prospective donor is currently receiving hospice care or has a life expectancy of six months or less by selecting 'YES' or 'NO'.
4. Enter the donor's date of birth in the specified format: Month, Day, and Year.
5. Describe your relationship to the donor in the provided space, referring to the priority order for authorization as outlined in the form.
6. Affirm the statement regarding altruistic intentions and the understanding that no promises are made about the donation.
7. Authorize the procurement of necessary tissues and organs, and indicate your consent for any specified additional research uses.
8. Complete the cremation authorization section by selecting the relevant crematory and acknowledging the terms of the cremation.
9. Answer the pacemaker and internal radiation alert questions truthfully by selecting 'YES' or 'NO'.
10. Choose the disposition of the cremated remains, providing the recipient’s details if applicable.
11. Specify where to send the death certificate, entering the recipient's information clearly.
12. Sign and date the form in the signature and acknowledgment section, ensuring to have two witnesses sign as well, maintaining their relationships to ensure compliance with the requirements.
13. Review the completed form for accuracy before submitting or saving changes as needed.

Complete the MedCure F-101M online today to ensure your wishes are documented.