Update Registration Information: If you have already registered to become an organ and tissue donor you can update your registration information by entering your information below and clicking “Login.”

E-mail:
Password:
Login
Forgot Password?
Donate Life

Register as a Donor

Yes! I wish to donate my organs, eyes, and tissues to save or enhance the lives of others.

If you would like to be a donor, but DO NOT live in the State of Alabama, visit www.donatelife.net to learn how to register in your home state.

Source: ONLINE
Registration Date: 04/24/2014
* First Name:
Middle Name:
* Last Name:
* Address 1:
Address 2:
* City:
State:
County:
* Zip Code (+4 optional): -
* Date of Birth (mm/dd/yyyy):
Ethnicity:
 

(choose the ethnicity you most identify with)
Gender:   
* Social Security #:
Social Security number is the source of identification used by hospitals to identify a registered donor. All information is held in the strictest confidence.
ID
Do you have a Alabama Driver License? If yes, please register using your Alabama Driver License Number (This will ensure that your registration preferences will be in sync with the Alabama DMV record).
Driver License:  
If not, do you have a Alabama State ID? If yes, please register using your Alabama State ID.
State ID:  
The following influenced my decision to be an organ donor: 

Optional
Supplying an e-mail address and password below will allow you to update your registration via our website. If you do not select a password at this time you can always do so later by selecting the "Registered without a password" link on the left side of our site.
E-mail:
Password:
Confirm Password: