North Carolina
Secretary Of State
Advance Heath Care Directive
Last updated: 8/2/2006
Organ And Tissue Donor Card
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Description
North Carolina Organ/Tissue Donor Card I wish to donate my organs and tissues. I wish to give: any needed organs and tissues; or only the following organs and tissues:________________________________________________ ______________________________________________________ ______________________________________________________ Donor Signature_____________________________Date________ Witness_______________________________________________ Witness_______________________________________________ American LegalNet, Inc. www.USCourtForms.com
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