Home Site Index Information for Donors
Introduction

Tissue Donation

Tissue Retrieval, Storage and Use

Other Information

The Process

Frequently Asked Questions

Prospective Donor Information Request Form

Thank you for seeking further information about donating tissue for research into Parkinson's disease.

This form is solely for requesting information about registering as a donor, either for yourself or someone else. Please use this if you wish to be sent an information pack, including donor and next-of-kin consent forms. If, after receiving the pack, you decide do not wish to sign up, you need do nothing further. You will not be registered as a donor until and unless we receive your completed and signed consent forms.

Additional forms are available for tissue requests and feedback on the website. For other matters, including general enquiries, please see the "Contact Us" page.

If you cannot use this electronic information request form, it is available for download in a variety of formats. (See the links below.)

PDF file     MS Word document     RTF file     Text file

Date
Name
Address
Postcode
Telephone Number
E-mail Address
Local Parkinson's Disease Society Branch
Have you previously signed up as a donor and we have lost touch with you?
How did you hear about the Tissue Bank?
Other information
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