Highland Building-JMH
1801 NW 9th Avenue, Suite #150-A
Miami, Florida 33136
How to Become a Donor/How to Help
Sign Up to become an Organ/Tissue Donor
Organ donor cards are available from a variety of sources.
- You may call LAORA at 800-232-2892 to request a donor card and donor information.
- The Florida Department of Motor Vehicles (DMV) provides information regarding organ donation and an opportunity to complete a Uniform Donor Card to every person receiving a new license or identification card. Your wish to be a donor is then indicated on your driver’s license or identification card.
- A donor card may also be printed here. There are two things you must do to ensure that your wishes are acknowledged: first, sign and carry your donor card in your wallet and second, notify your next of kin that you wish to be a donor.
Uniform Donor Card
Print, sign and carry this donor card in your wallet:
The undersigned hereby makes this gift, if medically acceptable, to take effect
upon death. The words and marks below indicate my desires:
I give:
(a) __ any needed organs or parts;
(b) __ only the following organs or parts; specify the organ(s) or part(s):
___________________________________________________________
for the purpose of transplantation, therapy, medical research, or education;
(c) __ my body for anatomical study if needed. Limitations or special
wishes, if any; (If applicable, list specific organs/tissues): ___________________
_____________________________________________.
Signed by the donor and the following witnesses in the presence of each other:
Signature of donor:_____________________________________
Please print your name:_________________________________
Date of birth of donor:___/___/___ Date signed:___/___/___
City and state:______________________________
Witness:__________________________ Witness:_________________________
Address:__________________________ Address:_________________________
Become a Volunteer
Life Alliance Organ Recovery Agency (LAORA) believes that volunteers can help make organ donation awareness activities possible. The volunteers play a vital role by making informational presentations to civic groups, corporations, schools, and religious organizations. Many of the volunteers are donor family members and transplant recipients who share their stories with the community.
Volunteers are also needed to help distribute organ donation information at health fairs and to assist with bulk mailing projects. We invite you to become a Life Alliance Ambassador. For more information, call 800-232-2892 or email your request to airumlui@med.miami.edu.
