Register a decision not to donate

Use this form to record a decision to opt out of organ and tissue donation. Fields marked * are mandatory

Cymraeg

Title

First name *

Last name *

Middle name

Preferred name

Date of birth *

On my GP medical record I am recorded as

We ask for this information in order to retrieve your NHS Number efficiently

Female

Male

Neither matches my GP record

Enter your postcode and select your address, we will do the rest

Address line 1 *

Address line 2

Town

County

Country

Postcode *

Accept address Cancel

We will only use these details to contact you about your registration if we need to obtain any additional information

Telephone

Mobile

Preferred form of contact

This optional information is only used by NHSBT for analysis of the NHS Organ Donor Register and is not stored against your registration

Ethnicity

Religion

Something went wrong. Please try again.