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Australian Organ Donor Register Registration

If you wish to change any of your registration details, please call 1800 777 203 or contact us by Email AODR@medicareaustralia.gov.au
I hereby give my permission for the details I have listed below to be included on the Australian Organ Donor Register.
*Indicates a required field


Personal Details:

*Medicare Card Number: (10 numerals required)
*Reference Number: (This is the number next to your name on your Medicare Card)

Title:

*First Name:

As per your Medicare card

Second Initial:

*Surname:

*Date of Birth:

- - (eg. 31 Jan 1971)
*Gender Male: Female:
*Address:

*Suburb/Town: (Do not include your State)
*Postcode:
Telephone Number (Daytime): (Please include area code - no brackets required)
Email Address:


*Organ and Tissue Donation:

Yes , I wish to register my intent to donate any suitable organs and tissue for transplantation.

No , I wish to register my intent NOT to donate any organs or tissue for transplantation.

(Organs and tissue suitable for donation include: kidneys, heart, lungs, liver, pancreas, heart valves, bone tissue, skin tissue and eye tissue).

 

All
Bone Tissue
Corneas (eye tissue)
Heart
Heart Valves
Kidneys
Liver
Lungs
Pancreas
Skin Tissue


How Did You Find Out About Us?


*Confirmation:

I confirm the above details are my personal details



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Last Updated May 24, 2011
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Medicare Pharmaceutical Benefits Scheme Australian Childhood Immunisation Register Australian Organ Donor Register