Advance directives · United States

Taking your name off the registry does not stop them.

Under the anatomical gift act, removing yourself from the donor registry is a revocation. A revocation bars nobody. Only a signed refusal does — and only if it is found in time.

See what it costs How it works

The gap most people don't know exists

After the 2025 reporting on premature organ procurement, hundreds of thousands of Americans went to the DMV and took their names off the donor registry. Most of them believe that settled it.

It didn't. The Revised Uniform Anatomical Gift Act draws a sharp line between two things that sound identical:

Anatomical gift act §8(b), as enacted in your state

A donor's revocation of an anatomical gift is not a refusal and does not bar another person from making an anatomical gift of the donor's body or part.

Removing your registry entry deletes your yes. It does not create a no. Authorization can still be given by a spouse, an adult child, a parent, a sibling, a grandchild, a grandparent, an adult who showed special care and concern — and, at the end of that list, by any other person with authority to dispose of the body. New Jersey's enactment spells out who that can be: the administrator of the hospital where the patient was treated.

Forty-five states, the District of Columbia and the Virgin Islands have adopted the 2006 revision, so this is the law almost everywhere. There is a mechanism that closes it, one paragraph away in the same statute:

Anatomical gift act §7(a) and §7(d)

An individual may refuse to make an anatomical gift by a record signed by the individual.

An individual's unrevoked refusal bars all other persons from making an anatomical gift of the individual's body or part.

No notary. No witnesses, if you sign it yourself. A signed record bars everyone — a surrogate, an agent, a hospital administrator. The legislature built the door. Almost nobody walks through it, and of those who do, most leave the document in a drawer at home.

What we do

We host your signed refusal at a private web address and give you two things that carry it: a stainless steel bracelet engraved with a QR code, and a wallet card with the same code. When someone scans it, they see your name, what you refuse, the statute it rests on, and a link to your signed document.

  1. You execute the documentWe give you the form for your state and tell you exactly how it has to be signed. You sign it. It is your instrument, not ours.
  2. You upload it and choose what showsName and birth year by default. Full date of birth only if you decide the faster match is worth the exposure.
  3. You get your QR filesVector artwork plus an engraving spec sheet. Use our bracelet, or take the files to any engraver you like — the code points at our domain either way, so it keeps working whoever cuts the metal.
  4. The card goes in your walletBehind your license, where it scans more reliably than metal ever will. Printable at home, or we print and post it.
  5. Your people get a text the moment it's scannedUp to three contacts, alerted within seconds, with your directive in the message. That is the part that puts a human on the phone while it still matters.
  6. We check in every three monthsOne tap confirms nothing has changed. Your page shows the date you last confirmed, so nobody reading it has to wonder whether it's stale.

Price

$79

first year, then $59/year · service only

  • Your hosted directive page — no login for the reader, no app to install
  • QR files and engraving spec — take them to any engraver you like
  • Printable wallet card — the most reliable way to carry the code
  • Text alerts to three contacts — every scan, every document open
  • Quarterly confirmation — so your page is never stale
Join the waitlist

$149

first year, then $59/year · with our bracelet

  • Everything above, plus a stainless steel bracelet we engrave and ship
  • Printed wallet card in the box

Already a customer? Bracelets from $69 as an add-on, in a growing range of finishes.

Cancel any time. If you cancel, your page comes down and your document is deleted — see the refund and cancellation policy.

All 50 states

The anatomical gift act is a uniform act, adopted in substantially the same form nearly everywhere. A few states run an earlier version with their own amendments — we tell you which applies to you during setup, and your page names the state you signed in. Your signed document is what carries legal weight; we host it and make it findable.

Questions

Is this a medical device?

No. It is an engraved accessory and a document hosting service. We store and display a legal document you executed. We do not draft it, witness it, verify it, or give legal or medical advice.

Is this anti-donation?

No. It operationalizes a mechanism the uniform act deliberately created. If you want your consent to donation documented and findable instead, the product works exactly the same way — a documented decision should be findable whichever way it points.

What if the hospital ignores it?

Two things happen. Your contacts are texted within seconds, so a person who knows your wishes can call while the decision is still being made. And every access is logged with a cryptographic fingerprint of exactly what the page said at that moment — which is the record that matters if anyone later disputes whether your refusal existed or what it said.

Can anyone who scans it read my medical history?

There is no medical history on the page. It carries your name, your birth year, what you refuse, the statute, and who to call. Nothing else. We are not a health records service.

Does it work if your website is down?

Your signed paper document is what carries legal weight, always. The page is how it gets found. We serve it from a global edge network with no database on the read path, but we will never claim it cannot fail — which is why your contacts and family should also hold copies.

Do I need a notary?

Under the 2006 uniform act, a refusal made by a record you sign yourself needs no witnesses and no notary. Witnessing is required only when someone else signs on your behalf because you physically cannot. A few states run an earlier version of the act with different requirements — we tell you which applies to your state, and if you have any doubt, have your own attorney look at it.

Does my state matter?

Less than you would expect. The anatomical gift act is a uniform act and forty-five states, DC and the Virgin Islands adopted the current version. Your page names the state you executed in so that anyone reading it knows which law applies. We do not draft your document, so nothing here depends on us getting a citation right — your signed instrument speaks for itself.