Donate

Thank you for your interest in the UIC Multiple Sclerosis Tissue Repository brain donor program.

Download the Donor Registration Request form along with answers to some frequently asked questions. Please share the registration forms and other information with your family, especially your next-of-kin. Since their consent is needed immediately before tissue collection, they share the responsibility for fulfilling your wish to donate. You may wish to review the registration forms with your physician, as medical history is collected. This helps us maintain comprehensive information for later correlation with research studies. Your medical care team should also be informed of your decision.

After reviewing the information provided, if you decide to plan a donation please complete the attached forms and return them to our office by mail or fax (address and fax number provided on top of form). When we receive your completed forms, we will mail you a donor card.

We sincerely appreciate your interest. Tissue donation reflects a strong commitment to advancing scientific research and endowing hope for the future. We anticipate that tissue banks like this one can provide researchers with the tools they need to pursue cures for MS.

Should you have any questions or concerns, please do not hesitate to contact us by phone, email or fax. In addition, please keep us updated with any changes to your or your next-of-kin's contact information.

Download Registration Request Form >>

Download Contact Information Update Form >>