When you enroll in Mississippi’s Donor Registry, you are registering as an organ, tissue and eye donor.
How did you learn about the registry?
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 REVISED MISSISSIPPI UNIFORM ANATOMICAL GIFT ACT (download). A document of gift, if 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.
I have read the disclosure statement and wish to enroll in the Mississippi Donor Registry.