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Fillable Form Refusal to Donate Organs

If a person or a family member would like to refuse to donate his tissues or organs even if he has an organ donor card, he may use a Refusal to Donate Organs form to revoke any documents stating his consent for organ donation.

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What is a Refusal to Donate Organs form?

A Refusal to Donate Organs form is a document used to refuse to donate organs or tissues.

If an individual has signed a document to donate an organ and has changed his or her mind, a Refusal to Donate Organs form shall be used to revoke the previous agreement.

Moreover, a Refusal to Donate Organs form serves as documentation of an individual's order to prohibit his or her organs from being donated upon death.

How to fill out a Refusal to Donate Organs form?


Enter the name of the nondonor.


Enter the home address of the nondonor.


Enter the name or names of the guardian or guardians of the nondonor.

As the guardian(s) of of the Nondonor

Enter the name of the nondonor.

Guardian Signature

Enter the signature of the nondonor's guardian.

Guardian’s Name

Enter the name of the nondonor's guardian.

Nondonor Signature

Enter the signature of the nondonor.

Nondonor’s Name

Enter the name of the nondonor.

Date Signed

Enter the date the Refusal to Donate Organs form was signed.

Nondonor’s Date of Birth

Enter the date of birth of the nondonor.

Witness Signature

Enter the signature or signatures of the witness or witnesses.

Witness’s Name

Enter the name or names of the witness or witnesses.

What is organ donation?

Organ donation is the process of transplanting an organ from the donor to the recipient. The notion of organ donation revolves around the discourse of the gift of life and sacrifice.

Organ Donation as a Gift of Life. One of the guiding principles of organ donation is the gift relationship to acquire an organ or tissue from a living or deceased person. It was embedded in the idea of exchanging gifts where there is reciprocity between the donor and the recipient. Organ donation is perceived as an exceptional and precious gift to someone in need. The Gift of Life discourse plays a vital role in encouraging voluntary and altruistic organ donation based on valuing life.

Organ Donation as a Sacrifice. Sacrifice is the act of doing selfless deeds or giving hard-wrought gifts to someone at the expense of the giver or donor. Organ donation equates to the sacrifice discourse as the donor or the bereaved family must make a tremendously difficult decision. Donating an organ comes with consequences, especially to the donor. If the donor is a living person, sacrificing a part of the body may cause his or her health to deteriorate or suffer from certain complications. On the other hand, if the donor is a deceased person, the bereaved family carries the obligation in deciding for the organ donation with respect to the deceased donor.

Regardless of these discourses, the demand for organ donations is much higher than the actual number of organ donors. Thus, some patients who need an immediate organ transplant die while waiting for a donor.

Organ donation improves the quality of and extends the life of many people. Experts suggest that public education must be implemented to solve the scarcity of organ donors. They believe that it will increase the public's understanding of and support for organ donation. It will also increase opportunities for people to record their decision to donate, which may enhance donor registries.

Is it right to refuse to donate an organ?

Donating an organ is absolutely optional and must not be implemented without the donor or guardian's consent. However, an individual must be prudent in making decisions about this matter to avoid poor judgment.

Regardless of previous approval in donating an organ, an individual has the right to revoke that agreement. A Refusal to Donate Organs form must be submitted to inform the organization, entity, or medical representative about the nondonor's new decision. It must be furnished before the scheduled operation so that they can find another organ donor.

An individual who wishes to keep all his or her organs after death must sign a Refusal to Donate Organs form beforehand. It ensures the wish, especially when the guardian's plan opposes the decision of the deceased individual.

Who can decide on organ donation?

Decision-making on organ donation depends on the potential donor and the consensus family. It includes the permission to donate an organ or organs or which organ or organs to donate.

A dead person's organs can only be donated if it was his or her wish. Otherwise, the decision to donate depends on the family and heirs.

What organs can be donated?

The following are some of the organs that can be donated or transplanted.

  • Liver. A liver transplant is needed when a patient's liver no longer functions adequately due to acute infection or complications from certain medications. A living person with a healthy liver or a victim of a cerebral vascular accident can be a liver donor.
  • Kidney. A kidney transplant is needed if either or both of the patient's kidneys fail. A healthy kidney is transplanted to the lower right or left side of the abdomen to connect with the blood vessels.
  • Pancreas. A patient with Type I diabetes needs a combination of kidney and pancreas transplants to prevent dialysis and naturally produce insulin that controls diabetes.
  • Heart. A patient with end-stage heart failure must undergo a cardiac transplant, especially if medications are not enough to treat the heart's disease. A deceased person with a healthy heart is qualified to be a donor. Also, a living person can be a heart donor. However, he or she will be sacrificing his or her life for the patient.
  • Bone Marrow. A bone marrow or stem cell transplant is needed if the bone marrow fails and stops producing healthy blood cells. It helps infuse stem cells that form blood to replace the diseased bone marrow.
  • Lung. Diseases such as cystic fibrosis, chronic obstructive pulmonary, and pulmonary hypertension damage the lungs. If medications are not enough to treat these diseases, a patient needs a lung transplant.

Heart valves, intestine, corneas, connective tissue, and bone can also be transplanted from a donor to a patient.


Keywords: family refuse organ donation refuse organ donation organ donation organ donation refusal refuse organ donation after death family refuse organ donation even if the patient has an organ donor card

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