Willed Body Program – Donation Forms
We appreciate your inquiry and interest in our Willed Body Program at UT Southwestern Medical Center. Each person who participates contributes substantially to the education of future doctors and to medical research.
For donations occurring before or at the time of death with no prior membership
UT Southwestern also can accept donations of deceased individuals who are not signed up with our program prior to passing. These are called On-The-Spot donations. Next of kin may contact the Willed Body Program for approval of such donations at 214-648-2221 or 1-888-905-9991.
Pending approval, the Willed Body Staff member will send the On-The-Spot Donation forms to the Next of Kin, via email or fax.
Please call if you or your loved one meets the following criteria:
- Currently on hospice or will be placed on hospice
- Diagnosed with Alzheimer's or Dementia
- Death has already occurred
- Is incapacited and cannot sign for themselves
Please complete the following forms for Membership if (you do not need to call):
- Are relatively healthy
- Death has not occurred and is not expected within the next year
- Have not been diagnosed with Alzheimer's or Dementia
- Are not currently on hospice and do not expect to be entering hospice
If you are interested in becoming a member of the Willed Body Program
These donation forms are for healthy individuals who are capable of completing and understanding the forms. If you are completing these forms for someone under the care of hospice, please contact our staff at 214-648-2221 and press option 1 to request consideration for donation.
- Medical Questionnaire
- Willed Body Program Bequest Form (must be signed by two witnesses)
- Personal Data Form
Please fax the completed forms to 214-648-4506 or mail them to:
UT Southwestern Medical Center
Willed Body Program
P.O. Box 35227
Dallas, TX 75235-0227
After the completed forms are processed, we will send you a wallet card for your records.
If you have further questions or need assistance, please feel free to contact the Willed Body Program at 214-648-2221 or toll free at 1-888-905-9991. Our office is staffed 24 hours a day.
Director, Willed Body Program
Note: With few exceptions, you are entitled on your request to be informed about the information UT Southwestern collects about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are entitled to receive and review the information. Under Section 559.004 of the Texas Government Code, you are entitled to have UT Southwestern correct information about you that is held by us and that is incorrect, in accordance with the procedures set forth in The University of Texas System Business Procedures Memorandum 32. The information that UT Southwestern collects will be retained and maintained as required by Texas records retention laws (Section 441.180, et. seq. of the Texas Government Code) and rules. Different types of information are kept for different periods of time.