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YES! I wish to donate my organs, eyes, and tissues to save or enhance someone's life.

If you would like to be a donor, but DO NOT live in the District of Columbia, visit www.donatelife.net to learn how to register in your home state.

Before you sign up please take a few minutes to make sure you understand what it means to be on the Donate Life DC donor registry:

Becoming an organ, eye, and tissue donor truly shares life with others. By putting your name on the Donate Life DC Organ and Tissue Donor Registry, you agree to donate your organs, eyes and tissues, to be recovered after your death, for use in transplantation, research, therapy and education. After your death, an examination and tests will be performed to determine the best medical uses for your gift. The law protects your choice. Unless you change your mind and remove your name from the Registry (which you may do from the Update your Info button) your wish to donate will be honored and no one else, including your family, will be able to change your decision. How does donation help save and enhance lives?
  • Organs used for life-saving transplants include heart, liver, pancreas, kidneys, lungs, and small bowel.
  • Tissues used to save or enhance life include eyes/corneas, heart valves, bones, and skin grafts.
  • Research uses of organs and tissues can include studies on curing diabetes, Alzheimer's, Amyotrophic lateral sclerosis (ALS) and other life-altering or fatal diseases.
  • Therapeutic uses of organs and tissues can include the development of pharmaceuticals to control the effects of various diseases such as HIV/AIDS.
  • Organs and tissues that cannot be used for transplantation, research or therapy can be used for educational purposes to advance scientific and medical knowledge.
Donor Sign-Up Information

All information submitted will be used only for official Registry business and will be kept completely confidential. We will not share, sell or otherwise compromise this information. For more information, please read our Security and Privacy Policy.

If you are between 13 and 17 years old, you can join the Donate Life DC registry to indicate your wishes, but your parents will make the final decision about organ and tissue donation at the appropriate time. When you turn 18 your choice to be a donor becomes a legal decision.

A ( * ) indicates a required field.
Gender is required.
Gender*

First Name
Middle Name
Last Name is required.
Last Name*
Birth Date is required.
Date of Birth*
Address is required.
Address*
  District of Columbia
Please enter a D.C. Zip Code.
Zip*
Phone
Email
If you do not enter an email address you won't receive a confirmation of your request.
Mother's Maiden Name
Drivers License and ID Number
Place of birth is required.
Place of birth (city,state)*
Ethnicity
How did you learn about the Donate Life DC Registry?
Event
At a later date, you may wish to update your donor profile. So that you may log into your donor profile, please provide an account password below.
Password*
(Retype Password)
Passwords must be at least 6 characters long and contain a letter and a number.

Donation Limitations

Would you like to specify donation limitations? A donation limitation is a particular donation you wish to exclude from the Registry and explicitly states you do NOT give your legal consent for those organs and/or tissues to be recovered. Limitations may include: heart, lungs, liver, kidneys, pancreas, bowel, eyes/cornea, skin grafts, heart for valves, bones and connective soft tissue (i.e.; tendons) and the use of each organ or tissue can be limited. If you check a box it means do not use for that purpose; if you leave it unchecked it may be recovered.


By submitting this registration I affirm that I am the applicant described on this application and that the information entered herein is true and correct to the best of my knowledge. This registration will serve as a document of gift as outlined in the District of Columbia Uniform Anatomical Gift Act. A document of gift, not revoked by the donor before death, is irreversible and does not require the consent of any other person. It also authorizes any examination necessary to ensure the medical acceptability of the anatomical gift.

To register online you must accept the terms above.
*
 

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