This is a revocation of the anatomical gift(s) made in Forms WA-P025 and WA-P025A that designate the body parts and organs an individual wishes to donate at the time of death. A donor may amend or revoke an anatomical gift, not made by will, by a signed statement, an oral statement made in the presence of two disinterested adults, any form of communication during a terminal illness or injury in the presence of two disinterested adults, or the destruction of the document of gift. Specific reference is made to the earlier executed Anatomical Gift Donation.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.