Willed Body Program Donation Agreement at UT Southwestern
This document provides essential forms and instructions for individuals interested in donating their bodies to the Willed Body Program at UT Southwestern. It outlines the necessary steps for completing the donation agreement and the expectations for donors and their next of kin. By understanding this process, potential donors can ensure their wishes are respected.
Edit, Download, and Sign the Willed Body Program Donation Agreement at UT Southwestern
Form
eSign
Add Annotation
Share Form
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.

How to fill out the Willed Body Program Donation Agreement at UT Southwestern?
1
Read the entire agreement to understand the donation process.
2
Complete all sections of the agreement, ensuring accuracy.
3
Have the necessary signatures witnessed where required.
4
Double-check your contact information before submitting.
5
Mail the completed agreement to the provided address.
Who needs the Willed Body Program Donation Agreement at UT Southwestern?
1
Individuals considering body donation to medical science.
2
Family members arranging donations on behalf of a deceased relative.
3
Healthcare professionals advising patients on body donation options.
4
Students in medical programs interested in donation processes.
5
Legal guardians or representatives of donors discussing these plans.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Willed Body Program Donation Agreement at UT Southwestern along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your Willed Body Program Donation Agreement at UT Southwestern online.
You can easily edit this PDF on PrintFriendly by using our user-friendly PDF editor. This tool allows you to make necessary changes quickly and intuitively. Once your edits are complete, you can save your changes for future reference.

Add your legally-binding signature.
Signing the PDF on PrintFriendly is simple and efficient. Use our signing feature to add your signature electronically wherever required. This digital functionality streamlines the signing process, making it fast and convenient.

Share your form instantly.
Sharing your PDF on PrintFriendly is straightforward and convenient. You can easily distribute your completed document via email or social media. Our sharing tools provide you with multiple options for disseminating your information.
How do I edit the Willed Body Program Donation Agreement at UT Southwestern online?
You can easily edit this PDF on PrintFriendly by using our user-friendly PDF editor. This tool allows you to make necessary changes quickly and intuitively. Once your edits are complete, you can save your changes for future reference.
1
Open the PDF in PrintFriendly's PDF editor.
2
Select the text or areas you wish to edit.
3
Make the desired changes or updates.
4
Review all changes to ensure accuracy.
5
Download or share the edited PDF once completed.

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.

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.

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

- 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?

- 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.
Related Documents - Willed Body Donation Agreement

Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.