Willed Body Program Donor Form - John P. McGovern-PDF Free Download

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Willed Body Program Donor Form - McGovern Medical School

Willed Body Program Donor Form - McGovern Medical School

Willed Body Program 6431 Fannin Street, Ste. 7.046 Houston, Texas 77030-1501 v01_2019 . WILLED BODY PROGRAM DONOR FORM . Date . Name of Donor (Please Print) Date of Birth Address City, State, Postal Code Phone Number . It is my wish that at the time of my death , my body will be made available for teaching and scientific purposes to the Anatomical Board of the State of Texas (SAB) as ...

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WILLED BODY PROGRAM DONOR FORM - nba.uth.tmc.edu

WILLED BODY PROGRAM DONOR FORM - nba.uth.tmc.edu

WILLED BODY PROGRAM DONOR FORM _____ Date _____ Name of Donor (Please Print) Date of Birth _____ Address City, State, Postal Code Phone Number It is my wish at the time of my death that my body is made available for teaching and scientific purposes to the Anatomical Board of the State of Texas (SAB) as represented by The University of Texas Health Science Center at Houston, Medical School ...

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The Willed Body Program Donor Information and Policy Guide

The Willed Body Program Donor Information and Policy Guide

The Willed Body Program . Donor Information and Policy Guide . Keep this page for your records . Who may donate to the Willed Body Program? Any person 18 years old and older who is at least a part-time resident of Arizona may enroll as a body donor with the Willed Body Program. There is no upper age limit. Please note: All donors must be enrolled and active in our database to be considered for ...

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UCSF Willed Body Program School of Medicine, AC-14 Donor ...

UCSF Willed Body Program School of Medicine, AC-14 Donor ...

UCSF Willed Body Program School of Medicine, AC-14 UCSF Box 0902 San Francisco, CA 94143 415-476-1981 415-502-1460 fax willedbodyprogram.ucsf.edu Thank you for your interest in the UC San Francisco Willed Body Program. Enclosed you will find our donor registration application. Upon completion of this application, please mail it to the address ...

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Dana Mize - Health Sciences Center

Dana Mize - Health Sciences Center

The Willed Body Donation Form Set consists of two parts. The first part, pages 1-7, is made up of these instructions and frequently asked questions to help in determining your decision to donate. 2. The second part, pages 8-12 are to be completed and returned to the address below: Willed Body Program Health Sciences Education Bldg. (HSEB) 607 Grove Road Greenville SC 29605 Tel: 864-455-9838 or ...

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Home | School of Medicine | University of California, Irvine

Home | School of Medicine | University of California, Irvine

Although every effort will be made to accept a donor's body, the Program may decline a donation at the time of death at its sole discretion. While this situation is unusual, please consider alternative arrangements for the disposition of the body should the body be deemed unsuitable for donation. The University of California accepts donations throughout the State of California and, in special ...

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SOUTHEAST TEXAS APPLIED FORENSIC SCIENCE FACILITY SAM ...

SOUTHEAST TEXAS APPLIED FORENSIC SCIENCE FACILITY SAM ...

WILLED BODY DONATION PROGRAM . DONOR FORM _____ _____ Date Social Security Number ... The Willed Body Program at Sam Houston State University is recognized by the Anatomical Board of the State of Texas. It is my wish that at the time of my death my body be made available for teaching and scientific purposes to Sam Houston State University and that it will not be returned to my next of kin or ...

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INSTRUCTIONS FOR THE WILLING OF BODIES TO

INSTRUCTIONS FOR THE WILLING OF BODIES TO

The Willed Body Program provides anatomical material that is essential for the furtherance of medical knowledge. Most of the bodies which come through this program to the University of Texas Health Science Center at San Antonio are used in the teaching of anatomy (body structure) to medical students, dental students or students of the allied health sciences. Some bodies are used by resident ...

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WILLED BODY PROGRAM INSTRUCTION SHEET

WILLED BODY PROGRAM INSTRUCTION SHEET

The Willed Body Form should be signed and dated in the presence of two witnesses. If possible, one of the witnesses should be a member of the family. It is not necessary to have the form notarized. Make two copies of the form after it is signed and witnessed. a. Return the original signed Willed Body Form to: Texas A&M College of Dentistry, Willed Body Program, Department of Biomedical ...

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Donor Application Packet - UCLA Health

Donor Application Packet - UCLA Health

All donor registration forms must be completed and signed where indicated. The UC Donation Agreement will require a signature witnessed by two people or a Notary Public. Mail the completed forms, which include the entire donor application, to the UCLA Donated Body Program in the envelope provided or to the address noted above. Once the forms ...

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ILLED ODY PROGRAM 5323HARRYHINESBLVD./DALLAS,TEXAS75390 ...

ILLED ODY PROGRAM 5323HARRYHINESBLVD./DALLAS,TEXAS75390 ...

Personal Data Form: Willed Body Program - UT Southwestern, Dallas, TX Created Date: 20101111133308Z ...

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