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About Joshua Abbott
(as of Sat. December 10, 2016)
SIGN ME UP TODAY
Thank you for registering to be an organ, tissue and eye donor. Before you sign up please take a few minutes to make sure you understand what it means to be on the Registry:
Becoming an organ, tissue and eye donor truly shares life with others. By putting your name on Florida’s organ, tissue and eye donor registry, you consent to having your organs, tissues and eyes made available for transplantation upon death.
Examples of organs for life-saving transplants include heart, liver, pancreas, kidneys, lungs and small bowel.
Examples of tissues that could save or enhance someone's life include eyes, corneas, heart valves, bones and skin grafts.
If you have previously registered on this site, you may modify your records by going to:
Update My Profile.
If you joined the Registry at the Department of Highway Safety and Motor Vehicles, but have not registered on this site, your name should be on the Registry. We do, however, encourage you to create a personal profile so you are able to amend your record at any time. To create a profile, sign up below.
Donor Sign-Up Information
All information submitted will be used only for official Registry business and will be kept completely confidential. We will not share, sell or otherwise compromise this information. For more information, please read our
If you are between 13 and 17 years old, you can join the Joshua Abbott Organ and Tissue Donor Registry, but your parents or legal guardian will make the final decision about organ and tissue donation at the appropriate time. You should tell your parents or legal guardian your decision to join the Registry.
We will confirm your registration by sending an e-mail directly to you. Entering your e-mail address will also allow you to update your information at a later date. If you don't have an e-mail address, you may obtain a free address at
Required fields are marked with an asterisk (*).
Gender is required.
First Name is required.
Middle Name is Required.
Last Name is required.
Birth Date is required.
Date of Birth*
Address is required.
Most Recent Address*
City is required.
State is required.
District of Columbia
Federated States of Mi
Armed Forces Europe, A
Armed Forces Americas
Armed Forces Pacific
Zip is required.
Invalid Email Address
E-mail Used for Confirmation Only
Mother's Maiden Name
Driver’s License Number/ ID Number
Place of Birth is required.
Place of Birth (City, State) *
Black / African American
American Indian/Alaska Native
Passwords must be 6 characters long.
How did you learn about Florida’s donor registry?
Big Heart Gators
Thunder Beach Motorcycle Rally Fall 2016
Chester Fergurson event
Bausch and Lomb
Driver License Services
Tax Collector Conference
Church, temple or other house of worship
Organ & Tissue Donor Program
Special Events/Health Fair
Would you like to specify donation limitations? A donation limitation is a particular donation you wish to exclude from the Registry and explicitly states you
give your legal consent for those organs, tissues and/or eyes to be recovered. Limitations may include: heart, lungs, liver, kidneys, pancreas, intestine, eyes, corneas, skin grafts, heart for valves, bones and soft tissue (i.e., tendons).
Yes, I would like to specify limitations for my donation.
Terms and Conditions
By submitting this registration I affirm I am the person described on this application, and the information entered herein is true and correct to the best of my knowledge. This registration will serve as a document of gift as outlined in the Florida Uniform Anatomical Gift Act. A document of gift, not revoked by the donor before death, is irreversible and does not require the consent of any other person. It also authorizes any examination necessary to ensure the medical acceptability of the anatomical gift.
Terms and conditions must be accepted.
Yes, I accept the Terms and Conditions.
In order to proceed, you must click both the Terms and Conditions AND the "I'm am not a robot" checkboxes. The Electronic Signature Certification is your legal acknowledgement of registration. The "I'm not a robot" checkbox is an extra security feature that helps safeguard data. Both are needed to proceed.
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Sponsored by Donate Life Florida and the State of Florida, Agency for Health Care Administration
Copyright © 2009 Donate Life Florida.