The Tissue Center of Central Texas

Make your wishes known

Communicating with your loved ones about your tissue donation wishes is the only way you can be sure these wishes will be carried out. Fill out the contact information below and The Tissue Center will send you a card for your wallet that indicates your wishes. You will also receive periodic emails you may forward to loved ones to remind them of your wishes.

*

Name:

First Required	Middle Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	StateRequired	ZIPRequired

*

Date of Birth: Required

Month

Day

Year

Yes, I would like to receive e-mail from The Blood and Tissue Center of Central Texas