Revocation of Anatomical Gift Donation - Kansas 2025

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  1. Click ‘Get Form’ to open the Revocation of Anatomical Gift Donation - Kansas in the editor.
  2. Begin by filling in your name as the Declarant at the top of the form. This identifies you as the individual revoking the anatomical gift.
  3. Next, indicate the date of your original anatomical gift by entering it in the designated field. This provides context for your revocation.
  4. In the body of the form, clearly state your intention to revoke the anatomical gift. You may also want to reference any specific details about your previous donation.
  5. Sign and print your name at the bottom of the form. Ensure that you include your address for identification purposes.
  6. If applicable, have two witnesses sign and print their names in the witness section, confirming they are disinterested parties.

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Can I remove myself from the national registered donors list? You can change your donor status at any time. Visit registerme.org to update your donor profile, specify any donation restrictions, or remove your registration.
(d) A donor may amend or revoke an anatomical gift that was not made in a will by any form of communication during a terminal illness or injury addressed to at least two adults, at least one of whom is a disinterested witness.
To revoke your authorization, you must complete the Kansas Registry Removal/Revocation Form available at DonateLifeKansas.com/KSRegistryRemovalForm.pdf. You can also request a paper form by calling (888) 744-4531. If completing a paper form, please submit as instructed.
You can change your mind about donating a kidney at any point during the process. The decision has to be completely voluntary and free from any pressure.
Can I remove myself from the registered donors list? Yes. You can change your donor status at any time. Look for an option such as updating your status on your states site.
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