Thank you for considering brain donation! We are sorry for the stress you are under. Coping with neurological decline and end of life is not easy. Our goal is to make the brain donation proceed smoothly, even if arranged on an urgent basis. If you are able, please review the requirements and process for brain donation. While brains must be removed within 24 hours of death to be used for scientific research for a cure, we can often coordinate the process with only a few hours.
You are completing the “Immediate Need” form, indicating that end of life may be hours away (or may have already occurred). If the situation is not urgent, complete this other form.
We need some information from you quickly so that our brain donation case management team can begin processing your request. Fields marked with an asterisk (*) are required fields. Our first steps will be to (a) reach out to the funeral home or cremation service and (b) learn the availability of pathology specialists in your area. We’ll then get back to you.
If you have difficulty — for whatever reason — completing this form, please contact us. Alternatives are sending us the answers via email, fax (650-233-9278) , or screen shots. Or, we can take the information by phone during regular business hours if staff is available.
We are honored to assist your family.