Ch. 11

LAWS OF MARYLAND

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

Witness                                                                           Address of Donor

DRAFTER'S NOTE: This deletes an extraneous article in §
4-505(b) of the Estates and Trusts Article.

The extraneous article "the" was contained in Ch. 11
of the Acts of 1974.

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