Anatomical Gift (Organ Donation) Revocation Agreement

Bahman Eslamboly

Form reviewed by Bahman Eslamboly, Attorney at FindLegalForms

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This Anatomical Gift (Organ Donation) Revocation is for use when an organ donor changes his or her mind and decides to revoke a prior anatomical gift donation. This revocation sets forth the name of the donor, date of the organ donation and date of revocation of the organ donation. It also sets forth the ways in which this donation can be amended such as by a signed statement, oral statement in the presence of two witnesses or communication to a physician or surgeon during a terminal illness. It is imperative that this revocation agreement be clearly set forth in writing. A written Anatomical Gift (Organ Donation) Revocation Agreement will ensure that your wishes regarding donation of your organs are carried out after your death.

This Anatomical Gift (Organ Donation) Revocation Agreement includes:
  • Donor Information: Sets forth the name of the donor, date of original donation and date of the revocation;
  • Revocation: Sets forth that this is a written revocation of Anatomical Gift;
  • Signatures: This revocation must be signed by the organ donor and contains an optional notary acknowledgment which is required in certain states.

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This attorney-prepared packet contains:
  1. Instructions and Checklist
  2. General Information
  3. Anatomical Gift (Organ Donation) Revocation Agreement
State Law Compliance: This form complies with the laws of all states

Anatomical Gift (Organ Donation) Revocation Agreement

Product Details

Product Anatomical Gift (Organ Donation) Revocation Agreement
Country United States
Pages 3
Dimensions Designed for Letter Size (8.5" x 11")
Printer compatibility Designed to print on all ink-jet and laser printers
Editable Yes (.doc, .wpd and .rtf)
Format Microsoft Word
Adobe PDF
WordPerfect
Rich Text Format
Platform Windows Compatible
Mac Compatible
Linux Compatible
Availability In Stock. Instant Download
Usage Unlimited number of prints
Category Anatomical Gifts (Organ Donation)
Product number #28157
Download time Less than 1 minute (approx.)
Document Access Via secret online address
Email with download links
Email with attachment upon request
Refund Policy 60 days, no-questions asked, 100% money back guarantee

Frequently Asked Questions

This agreement is a legal document that allows an individual to formally revoke a previously made decision to donate their organs after death. It ensures that the donor's current wishes are respected and documented.

To complete the revocation agreement, the donor must fill in their personal information, including their name, the date of the original donation, and the date of revocation. The document must then be signed by the donor and may require notarization depending on state laws.

Notarization is not universally required but may be necessary in certain states to validate the revocation. It is advisable to check local laws regarding notarization requirements for legal documents.

While verbal revocation may be recognized in some circumstances, it is highly recommended to provide a written revocation agreement to ensure clarity and legal standing. This helps prevent any misunderstandings regarding your wishes.

If you do not revoke your organ donation, the original agreement remains in effect, and your organs may be donated after your death according to the terms of that agreement. It is crucial to communicate any changes in your wishes clearly.

Typically, family members cannot revoke an anatomical gift unless they have legal authority, such as being designated as a healthcare proxy. It is essential for the donor to communicate their wishes directly through a formal revocation agreement.

If you change your mind again after revoking your organ donation, you will need to execute a new anatomical gift agreement. This new document will replace the revocation and should be completed following the same legal guidelines.

The Anatomical Gift (Organ Donation) Revocation Agreement can be obtained from legal document providers, healthcare organizations, or online legal resources that specialize in estate planning and organ donation documentation.

Is This Form Right For You?

Use This Form If:

  • Individuals who have previously signed an organ donation agreement but have since changed their minds may need this revocation agreement to formally document their decision. This ensures that their current wishes are respected and legally recognized.
  • Situations requiring a change in organ donation status can arise due to personal circumstances, such as a change in health or family dynamics. This form allows donors to revoke previous agreements and communicate their new intentions clearly.
  • For those who wish to ensure that their healthcare decisions align with their current beliefs, this revocation agreement serves as a critical tool. It provides a legal means to withdraw consent for organ donation, safeguarding the donor's rights.
  • Families may find themselves in a position where they need to clarify a loved one's wishes regarding organ donation. Utilizing this revocation agreement can help avoid confusion and ensure that the donor's current intentions are honored.
  • Healthcare providers may require documentation of a donor's revocation of an anatomical gift to comply with legal and ethical standards. This form provides the necessary written evidence to support the donor's updated wishes.

Do Not Use If:

  • – This form is not appropriate if the donor has not previously executed an anatomical gift agreement. Revocation is only relevant when there is an existing agreement that needs to be canceled.
  • – In cases where the donor is unable to make decisions due to mental incapacity, this revocation agreement cannot be used. Legal guardians or healthcare proxies may need to be involved in such situations.
  • – If the donor is currently undergoing a medical procedure or treatment that affects their decision-making capacity, it is advisable to wait until they are in a stable condition before executing a revocation agreement.
  • – This form should not be used if the donor wishes to amend their original donation agreement rather than revoke it entirely. Different procedures apply for amendments versus revocations.
  • – If the donor is unsure about their decision or is experiencing pressure from family or friends, it may be wise to seek legal counsel before proceeding with a revocation agreement.

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