Donor Forms

Thank you for choosing to learn more about the Gift of Hope brain donation program. If you decide to become a donor, your gift will assist researchers in making life-saving discoveries. To receive additional information about the program, complete the donor application form, or update your current status as a donor. You have the choice to download the forms as a fillable PDF or Word document below. To download the file, right click and “Save link as” or “Save target”. Remember to make a note of where the file is saved to your computer

Donor Entry Form

Completion of this form in no way commits you to becoming a donor — it only allows us to send you additional information about the donation program. The form can be filled out electronically or printed and filled out by hand and sent by email, fax or regular mail.

Research Donor Enrollment Packet

Once we have received your Donor Entry Form, you will receive this packet to provide you with additional information about the donor program. This PDF also includes the Donor Enrollment Application for those who choose to become a donor.

Donor Update Form

If you have already registered as a donor, but need to make an update to your initial application, please complete this form and send it to us at your earliest convenience.

How to Complete Fillable PDF Forms

A Fillable Form is a PDF file that you download to your computer. You can open, edit, and save the file with Acrobat Reader 8.0 or later (older versions of Reader will not allow you to save the file). If you do not have the Reader, get it FREE at http://get.adobe.com/reader/

As long as only the user’s own computer is used, there are no security or HIPAA issues.

You are responsible for entering all required information.

Click here for step by step instructions.