New York State Donate Life Registry Enrollment Form

Sign up online as an organ and tissue donor in just a few minutes. By simply filling out the form below, you can save the lives of 8 people through organ donation and enhance countless others through tissue donation.


Already registered? Click here to access your donor profile.

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The New York State Donate Life Registry (Registry) uses a third party identity verification service to confirm the identity of all people joining the Registry through this website using information provided during the process. Neither the Registry nor the third party verifier keeps records of the last four digits of the social security number or answers to multiple choice questions. All other identifying information is submitted as part of your enrollment in the New York State Donate Life Registry. If your identity is confirmed, you will be brought to your donor profile, showing that your registration was successful. If we were unable to confirm your identity, you will be given an opportunity to print out a form that you can complete and submit by mail or email.

By clicking submit, I accept the Terms and Conditions of this website and I am indicating my consent to enroll in the Registry. I understand that by enrolling in the Registry, I am giving legal consent to the donation of my organs, tissues and eyes (as specified above) in the event of my death. I authorize access to the information as needed for the administration of the Registry and to federally regulated organ procurement organizations, New York State licensed tissue and eye banks, and entities formally approved by the NYS Commissioner of Health at or near the time of my death.

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