SHARE YOUR STORY.
INSPIRE OTHERS.
SAVE LIVES.

Whether you are a transplant recipient, donor family member, healthcare professional or just feel passionate about the cause, sharing your story helps educate others on the facts of donation and transplantation and helps convey the far-reaching impact that donation makes in the lives of others.

In 350 words or less, tell us about your connection to donation and transplantation and how it has impacted your life. Use the form below to share your story.

My Story
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I, the undersigned, hereby grant my permission for Indiana Donor Network to use my name, likeness and/or statements I make that have been recorded, for the purpose of illustration, advertising, publication, public relations, used as part of a testimonial and/or a memorial or tribute, or incorporation in video or motion picture film, digital or film still photography, broadcast radio, television, cable or the internet, and used for the purpose of or in conjunction with, the promotion, education and/or create awareness of organ, tissue and eye donation and transplantation.

I therefore release and hold harmless Indiana Donor Network, its agencies and clients, from any and all claims or actions arising out of the use or in connection with, services rendered by the undersigned and the use of the undersigned and the undersigned's likeness for the aforementioned purposes.