Edit, Download, and Sign the Willed Body Program Donation Agreement at UT Southwestern

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How do I fill this out?

Filling out the Willed Body Program Donation Agreement is a straightforward process. Ensure that all sections are completed as indicated, providing accurate and legible information. If you have questions at any point, please reach out to the Program for assistance.

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How to fill out the Willed Body Program Donation Agreement at UT Southwestern?

  1. 1

    Read the entire agreement to understand the donation process.

  2. 2

    Complete all sections of the agreement, ensuring accuracy.

  3. 3

    Have the necessary signatures witnessed where required.

  4. 4

    Double-check your contact information before submitting.

  5. 5

    Mail the completed agreement to the provided address.

Who needs the Willed Body Program Donation Agreement at UT Southwestern?

  1. 1

    Individuals considering body donation to medical science.

  2. 2

    Family members arranging donations on behalf of a deceased relative.

  3. 3

    Healthcare professionals advising patients on body donation options.

  4. 4

    Students in medical programs interested in donation processes.

  5. 5

    Legal guardians or representatives of donors discussing these plans.

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What are the instructions for submitting this form?

To submit the Willed Body Program Donation Agreement, complete all sections and ensure all necessary signatures are obtained. Mail the signed agreement to the Willed Body Program at UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9143. For additional information, you may contact the program at 214-648-2221.

What are the important dates for this form in 2024 and 2025?

For those considering donation, be aware that the agreement should be submitted prior to your death. There are no specific deadlines; however, ensuring your wishes are formally documented is crucial. Keep in touch with the Program for any procedural updates in 2024 and 2025.

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What is the purpose of this form?

The primary purpose of the Willed Body Program Donation Agreement is to provide a structured approach for individuals wishing to donate their bodies to medical science. This allows for the training of future healthcare professionals through hands-on experience with real human anatomy. It also facilitates crucial medical research, contributing to the advancement of healthcare and treatment methods.

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Tell me about this form and its components and fields line-by-line.

The form consists of several key components designed to collect essential information about the donor and their wishes regarding body donation.
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  • 1. Donor Information: Collects personal details of the donor, including name, date of birth, and contact information.
  • 2. Next of Kin Information: Gathers contact information for the individual responsible for the donor's decisions.
  • 3. Donation Agreement Details: Form outlines the donor's intentions and any preferences regarding their remains after studies.
  • 4. Signature Section: Requires signatures from the donor and witnesses to validate the agreement.

What happens if I fail to submit this form?

If the Willed Body Program Donation Agreement is not submitted, your wishes regarding body donation may not be honored. It's essential to ensure that the agreement is filled out and returned to guarantee participation in the program. Failure to submit the agreement can result in complications during the donation process.

  • Unknown Wishes: Without the agreement, family members may not know your intentions for donation.
  • Delays in Process: Not submitting on time may lead to delays or inability to donate.
  • Alternative Arrangements: If not accepted into the program, families must make other funeral arrangements.

How do I know when to use this form?

Use this form if you wish to formally document your decision to donate your body to science. It is applicable both when individuals are actively making plans for themselves or when family members are making arrangements posthumously. Ensure the agreement is filled out prior to death to assist the Willed Body Program.
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  • 1. Pre-Death Arrangement: Individuals looking to document their wishes for body donation during their lifetime.
  • 2. Posthumous Arrangement: Family members initiating the donation process for a deceased loved one.
  • 3. Healthcare Guidance: Healthcare providers assisting patients and families with the body donation process.

Frequently Asked Questions

What is the purpose of the Willed Body Program Donation Agreement?

The agreement facilitates the body donation process to UT Southwestern's educational and research programs.

How do I ensure my body will be accepted for donation?

Contact the Program for guidelines on eligibility and to discuss any specific health conditions that may affect acceptance.

Can my next of kin arrange for body donation?

Yes, upon the donor's death, the next of kin can arrange for the donation regardless of previous registration.

What happens if my body is not accepted?

If your body is not accepted, your family will need to make alternative arrangements for disposition.

How is the donated body used?

Donated bodies are utilized for medical education and research, aiding in the training of future healthcare professionals.

When can I expect the return of my cremated remains?

Cremated remains are usually returned within 18 to 24 months, depending on the completion of studies.

What costs are involved in the donation process?

There is typically no cost to the donor's family, though fees may apply if the death occurs far from the medical center.

What if I have more questions about the process?

You can contact the Program at 214-648-2221 for any inquiries or clarification needed.

Is my information kept confidential?

Yes, UT Southwestern adheres to strict privacy regulations regarding personal information.

Can I change my mind after submitting the agreement?

Contact the Program directly to discuss any changes or revocation of your donation agreement.

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