Donor Identification
Full legal name, date of birth, contact details, and an identifier (driver's license or state ID number) to match medical records and verify the donor's identity at time of death.
A correctly completed Anatomical Gift Form documents donor intent, reduces family ambiguity at end of life, and helps organ procurement organizations act promptly. Proper form design and execution improve the chance that a donor's preferences are followed and that donation is processed without unnecessary delays or legal challenges.
The primary users are individuals planning to donate, health care agents, and designated representatives who may be asked to confirm or carry out the donor's wishes.
Health care providers, transplant coordinators, and legal counsel also interact with the form during verification, acceptance, and recordkeeping.
An individual of legal age who expresses intent to donate. The donor must complete required fields, sign, and date the form; unclear or unsigned forms risk being invalidated by medical or legal staff.
A legally appointed agent or next of kin may confirm or carry out the donor's directions when allowed by state law, particularly if the donor is incapacitated or the form grants agent authority for anatomical gifts.
Full legal name, date of birth, contact details, and an identifier (driver's license or state ID number) to match medical records and verify the donor's identity at time of death.
Clear selection for whole body, specific organs, tissues, or use for research/education; optional exclusions or limitations must be described unambiguously to prevent misinterpretation.
Ability to name a recipient, an agent for postmortem decisions, or to state that the donor's family or designated person will make allocation choices.
Signature block, printed name, date, and required witness or notary acknowledgment fields; indicate whether electronic signature is acceptable under state law.
Permits access to relevant medical records and authorizes medical personnel to release the anatomical parts for permitted uses consistent with donor choices.
Clear instructions for revoking or amending the gift, including formats accepted (written, registry update) and notice procedures for health providers and OPOs.
| Field | Configuration |
|---|---|
| Signature Field | Required; timestamp and signer IP captured |
| Witness Field | Conditional; shown when witness is required |
| Authentication | Email or SMS OTP; stronger methods optional |
| Delivery | Send signed copy to OPO and donor contact |
Ensure your platform supports secure signing, audit trails, and required integrations to deliver signed forms to medical and registry systems.
Use a platform with HIPAA-ready controls, clear audit logs, and export options to ensure signed forms are admissible and retrievable by clinical teams.
Gift effective on date signed unless form specifies otherwise
Registry notation may supplement form and speed verification
Notify OPO promptly after death for timely placement
Amendments take effect when properly executed and communicated
Revocation becomes effective when the provider or registry receives notice
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | Yes, 7-day free trial | No | No | Yes, limited | Yes, limited |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
A hospitalized donor pre-signed an anatomical gift form noting specific organ exclusions
An individual registered donation online and later executed a physical form at a clinic