Be a hero: Join the Science Care Registry today

Thank you for considering Science Care. Join the registry today by filling out the form below. This is a great first step to share your wishes with your loved ones.

You do NOT need to register below if:

We currently pre-register persons living in AZ, CA, CO, DE, FL, IL, NC, NV, OR, PA, TX, WA and WI. If you do not live in one of these states, simply tell your loved ones that you wish to be a donor so they are aware to call Science Care either at your entry into hospice care or at the time of need.
Please complete the form as accurately as possible. Misspelled names, addresses, phone numbers, and emails can delay or cause issues with your registration.

Science Care Donor Registration Form

* You have left some required fields empty. Please correct fields in red.

For postcards: Look for the code under the address window.
For books or magazines: Look for the code on the back cover page under the Science Care logo; on the registration cards near the back of the book; or on the page preceding the registration cards.
Once you register with Science Care, we will send you a registration packet that includes identification cards. Note that registration is not a requirement, or a guarantee of acceptance. Your information is never shared and is kept confidential with restricted access.
Thank you! Your submission has been received!
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Complete the “Donation and Cremation Consent Authorization” form

After completing the online registration form above, you will be taken to a web page with a link to complete and download the “Donation and Cremation Consent Authorization Form.” The form must be completed, initialed, printed, signed and dated by the registrant, and signed by two witnesses.