PER:
https://apps.health.ny.gov/professionals/patients/donation
/organ/DonorRegistration.action
Put: Please input FULL address including; street name,
residence number, apartment/floor if applicable, city,
state and zip. PLEASE NOTE ADDRESSES THAT ARE
INCOMPLETE OR ARE A TEMPORARY RESIDENCE, WILL
NOT BE ACCEPTED.
Place ‘PERMANENT’ in front of address
Add box to put apartment
number and/or floor.
COMPLETE ONLINE/MAIL IN REGISTRY
FORM
Place: Apartment/Floor number
PER:
https://www.health.ny.gov/forms/organ_donation_enr
ollment_form.pdf
PERMANENT ADDRESS
Put: “PLEASE NOTE
ADDRESSES THAT ARE
INCOMPLETE OR ARE
A TEMPORARY
RESIDENCE, WILL
NOT BE ACCEPTED”
PRINT OUT/MAIL IN
REGISTRY FORM
PER
http://www.elections.ny.gov/NYSBOE/download/voting/vot
eform.pdf
VOTER REG FORM
Put: Put FULL address and
ONLY permanent
residences will be
accepted.PLEASE
PRINT
LEGIBLY
NYC MUNICIPAL ID
PER
http://www1.nyc.gov/assets/idnyc/downloads/pdf/application-
materials/application_english.pdf
Should state: ‘To be eligible your IDNYC must include
your FULL PERMANENT address. Shelters, halfway
homes, and Care Of organizations will not be accepted.
Organ Procurement
Organizations
Albany
• Center for Donation
and Transplant
New York
City/Metropolitan Area
• New York Organ
Donor Network
(NYODN)
Buffalo
• Upstate New York
Transplant Services
Rochester/Syracuse
• Finger Lakes Donor
Recovery Network
Tissue Banks
Albany
• Center for Donation
and Transplant
New York
City/Metropolitan Area
• New York Organ
Donor Network
(NYODN)
• New York
Firefighters Skin
Bank at The New
York Hospital Burn
Center
Buffalo
• Upstate New York
Transplant Services
Rochester
• Rochester Eye and
Human Parts Bank,
Inc.
Syracuse
• Musculoskeletal
Transplant
Foundation
• Central New York
Eye and Tissue Bank
Eye Banks
Albany
• Lions Eye Bank at
Albany
• Sight Society of
NENY, Inc.
New York
City/Metropolitan Area
• Eye Bank for Sight
Restoration
• Lions Eye Bank for
Long Island
Buffalo
• Upstate New York
Transplant Services
Rochester
• Rochester Eye and
Human Parts Bank,
Inc.
Syracuse
• Central New York
Eye and Tissue Bank
PER
http://www.health.ny.gov/professionals/patients/donation/organ/organizations_and_banks.htm
PLACES THAT DONORS CAN SIGN UP These are facilities to whom we would send the canvas
letter out

DONATION FORM CHANGES