Register a decision to donate

Use this form to record a decision to donate some or all of your organs and tissue. Fields marked * are mandatory

Cymraeg

About you

Date of birth *
On my GP medical record I am recorded as

We ask for this information in order to retrieve your NHS Number efficiently

or

Your address

Enter your postcode and select your address, we will do the rest

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Your contact details

We will only use these details to contact you about your registration if we need to obtain any additional information

Your choice

You can choose to donate some, or all, of your organs and tissue

I want to donate *

What your decision means

By selecting ‘all’ you may be able to help up to nine people through organ donation, and even more through tissue donation. Thank you. 

Faith/beliefs

We are committed to supporting your faith and beliefs throughout the organ or tissue donation process.

In the event of your death we will tell your family that your faith and beliefs are important to you, support your family to speak to your faith leader or a representative of your belief system, and provide information to support the discussions.

Our full faith and beliefs commitment

I would like NHS staff to speak to my family and anyone else appropriate about how organ donation can go ahead in line with my faith or beliefs.
or

Additional information

This optional information is only used by NHSBT for analysis of the NHS Organ Donor Register and is not stored against your registration

Confirmation

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