Directions For The Disposition Of My Vital Organs
_____ (Initials) My directions as stated here may not be overridden or revoked by my Agent under Medical Durable Power of Attorney, whether I signed this declaration before or after I appointed that Agent. 3. ANATOMICAL GIFTS _____ (Initials) I wish to donate my (check one or both) ____ organs and/or ____ tissues, if medically possible. ................
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