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The decision is still yours to make Within an opt out system for organ donation (also known as deemed consent, or presumed consent), everyone is considered to agree to donate their organs when they die unless they record a decision not to donate - whats known as opting out - or are in one of the excluded groups.
With an opt-in system, people have to actively sign up to a register to donate their organs after death. In opt-out systems, organ donation will occur automatically unless a specific request is made before death for organs not to be taken.
A registered individual provides legally binding permission for donation at the time of death, and family does not have the right to override this decision. Current US practice is to proceed with a registered donation if medically suitable, even over family objection.
A member of the OPO must obtain consent from the family before organ donation. However, the family cannot override the persons decision to donate their organs if they have registered to donate or stated it in their advance directives.
You can change your donor status at any time. Look for an option such as updating your status on your states site. If you have a donor mark on your drivers license, removing yourself from the registry will not change that.

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7. Responsibility for seeking consent. The consultant initiating the treatment is ultimately responsible for ensuring that the patient has given valid consent.
If you do not want your organs donated, then you will need to record a decision not to donate your organs/tissue (opt out) on the NHS Organ Donor Register and tell your family and loved ones your decision.
If you registered as a donor on your drivers license or state ID card. You will need to visit your local DMV to remove the status from your drivers license. You will need to request a duplicate license and write the word REMOVE on the application where you indicate your donation decision.

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