12                                          LAWS OF MARYLAND                             [Ch. 11

A GIFT OF ALL OR PART OF THE BODY FOR PURPOSES OF
THIS SUBTITLE ALSO MAY BE MADE BY DOCUMENT OTHER THAN A
WILL. THE DOCUMENT MUST BE SIGNED BY THE DONOR IN THE
PRESENCE OF TWO WITNESSES, WHO, IN TURN, SHALL SIGN THE
DOCUMENT IN THE PRESENCE OF THE DONOR. IF THE DONOR
CANNOT SIGN IN PERSON, THE DOCUMENT MAY BE SIGNED FOR
HIM, AT HIS DIRECTION AND IN HIS PRESENCE, AND IN THE
PRESENCE OF TWO WITNESSES, WHO, IN TURN, SHALL SIGN THE
DOCUMENT IN THE PRESENCE OF THE DONOR. DELIVERY OF THE
DOCUMENT OR GIFT DURING THE LIFETIME OF THE DONOR IS NOT
NECESSARY TO MAKE THE GIFT VALID. THE DOCUMENT MAY
CONSIST OF A PROPERLY EXECUTED CARD CARRIED ON THE THE
PERSON OF THE DONOR OR IN HIS EFFECTS. THE DOCUMENT AND
CARD MAY CONFORM SUBSTANTIALLY TO THE FOLLOWING FORM:

ANATOMICAL GIFT BY A LIVING DONOR

I AM AT LEAST 18 YEARS OF AGE AND MAKE THIS
ANATOMICAL GIFT TO TAKE EFFECT UPON MY DEATH. THE MARKS
IN THE APPROPRIATE SQUARES AND WORDS FILLED INTO THE
BLANKS BELOW INDICATE MY DESIRES.

1. I GIVE: [ ] MY BODY; [ ] ANY NEEDED ORGANS OR
PARTS; [ ] THE FOLLOWING ORGANS OR PARTS

2.     TO THE FOLLOWING PERSON, AGENCY, OR INSTITUTION:

[ ] ANY   PERSON, TISSUE BANK, OR INSTITUTION AUTHORIZED BY

LAW;

[    ] THE ANATOMY BOARD OF MARYLAND;

[    ] THE FOLLOWING NAMED PHYSICIAN, HOSPITAL, TISSUE

BANK OR OTHER MEDICAL INSTITUTION .......................

3. FOR THE FOLLOWING PURPOSES; [ ] ANY PURPOSE
AUTHORIZED BY LAW;

[ ] TRANSPLANTATION; [ ] THERAPY; [ ] MEDICAL RESEARCH
AND EDUCATION.

DATED .... CITY AND STATE...,
SIGNED BY THE DONOR IN
THE PRESENCE OF THE FOLLOWING
WHO SIGN AS WITNESSES:

WITNESS                                              SIGNATURE OF DONOR