J. MILLARD TAWES, GOVERNOR                            399

(C)  A DOCTOR OF MEDICINE AUTHORIZED BY THIS ACT
SHALL BE A DULY LICENSED DOCTOR OF MEDICINE AS-
SOCIATED WITH OR AUTHORIZED BY A "HOSPITAL" OR
"PERSON" AS DEFINED BY SECTION 556 OF ARTICLE 43 AND
LICENSED BY THE STATE BOARD OF HEALTH OR AUTHOR-
IZED TO ACT BY A FEDERAL, STATE, COUNTY, OR BALTI-
MORE CITY AGENCY.

(c) Any person providing for the disposition of his body or por-
tions thereof pursuant to sub section (b) above shall have the right
and authority to revoke such disposition by executing a like instru-
ment and transmitting it to the person holding the original instru-

ment.

(D)  ANY PERSON PROVIDING FOR THE DISPOSITION OF
PORTIONS OF HIS BODY THEREOF PURSUANT TO SUB-
SECTION (B) ABOVE SHALL HAVE THE RIGHT AND AU-
THORITY TO REVOKE SUCH DISPOSITION BY ACTUAL
NOTICE. THE HOLDER OF THE ORIGINAL INSTRUMENT
SHALL BE PROTECTED IN EXERCISING THE AUTHORITY
OF SAID INSTRUMENT UNLESS IT CAN BE CLEARLY
SHOWN THAT ACTUAL NOTICE OF REVOCATION WAS RE-
CEIVED BY THE HOLDER OF THE INSTRUMENT PRIOR TO
EXERCISING THE AUTHORITY CONTAINED IN THE OR-
IGINAL INSTRUMENT. THE ORIGINAL INSTRUMENT SHALL
BE TRANSFERABLE TO ANOTHER HOLDER WITH AUTHOR-
ITY TO ACT ONLY UPON NOTICE BY THE TRANSFEROR TO
THE MAKER OF THE ORIGINAL INSTRUMENT.

(d) (E) The instrument authorizing post-mortem examination AND
STUDY or the removal of tissue or organs shall be in CONFORM
SUBSTANTIALLY TO the following forms:

CERTIFICATE OF AUTHORIZATION FOR POST-MORTEM

STUDY AND EXAMINATION OR REMOVAL OF

TISSUES OR ORGANS

"I, the undersigned, desiring that my........................be made avail-

able for

for said purpose to .................................................................................,

(Name)                              (Address)

                                 , if living and if not, then my........................................................................

(Telephone)

may be used for such purpose by any person.

I hereby authorize any doctor of medicine, surgeon or hospital to

remove any use my........................ for said purpose.

I, THE UNDERSIGNED, THIS................DAY OF................19....,

DESIRING THAT MY................................BE MADE AVAILABLE

AFTER MY DEMISE FOR:

A.  MEDICAL EDUCATION AND RESEARCH, AND/OR

B.  TRANSPLANTATION TO THE BODY OF A NAMED PER-
SON IF LIVING AT THE TIME OF MY DEMISE, AND/OR

C.  THE REPLACEMENT OR REHABILITATION OF THE
TISSUES OR ORGANS OF ANY LIVING PERSON WHO COULD
BENEFIT THEREFROM;