Organ Donor Form

Form Template

The Organ Donor Form mobile app provides an electronic form that can be personalized to meet your wishes for organ donation and tissue donation.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

Organ transplants save lives every day, but your family members should know that you wish to be involved with organ and tissue donations in the event of your death in order to ensure that your wishes are followed. Using the electronic organ donation form helps ensure that you receive proper end-of-life care so that you can donate your organs to someone on the waiting list.

Instead of writing up your wishes by hand or on a computer, the easy to use Organ Donor Form generates a blank form using any smartphone or tablet and includes electronic signature capture to show that you consent to the organ donation process. The organ and tissue donation form input is saved electronically and can be forwarded to your family members, health care providers and saved with your will.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
Read More
  • iPhone
  • iPad
  • Android
  • Windows
Read More
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us