Share Your Story

If you would like to share your story on our website please e-mail your story and photo to Tiffini Allen at tiffinia@iopo.org.  Submitted stories may also be used in print publications or distributed to members of the media for potential use.

Name of Individual Filling out this Form:
First: Last:
Address: Address 2:
City: State:
Zip Code:
Phone: E-Mail Address:
I am a:
Organ / Tissue Recipient
Organ / Tissue Received:
Family / Friend of Donor

Name of Donor

First: Last
Organ / Tissue Donated:
Living Donor:
Organ Donated:
Please enter your story below:
Send us a photo (optional)
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