a - HODS

DO YOU SIMPLY WANT TO UPDATE YOUR INFORMATION ON YOUR EXISTING HODS CARD?
If you just want to update your information do not re-register. Send an email to office@hods.org.

DO YOU LIVE IN ISRAEL?
If you live in Israel and you want an organ donor card you need to register for the Israeli ADI organ donor card at https://www.adi.gov.il/en/.
HODS does not offer its organ donor cards to people living in Israel unless they are physicians or rabbis.

TO GET A HODS ORGAN DONOR CARD: When you register for a HODS organ donor card you become a HODS member. The card comes with an $18 donation. Your support enables us to save lives. Registration takes 4 minutes. The information you send us will remain confidential and will be shared only with transplant networks upon their request.
Personal Information
First Name:*

(As you would like it to appear on your card)
Middle Name

(As you would like it to appear on your card)
Last Name*

(As you would like it to appear on your card)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Gender*
- Male
- Female
Birth Date*
MM slash DD slash YYYY
How did you hear about HODS?*
Are you a*
If you are a Rabbi, can we publish your card on our Rabbi Page?*
- No
- Yes
Is anyone in your family a physician?*
- Yes
- No
Do you want to join our Physicians Network as an Orthodox Physician who supports HODS (click here to view the other 250 physicians who have joined)*
- No
- Yes

Emergency Contact
These two contacts and their phone numbers will appear on the back of your card. In case of a medical emergency, these people will be contacted.
Contact #1
(Family member, Friend, Rabbi Or Physician)
Name*
Relationship*
Home Phone*
Work/Mobile*
Contact #2
(Family member, Friend, Rabbi Or Physician)
Name*
Relationship*
Home Phone*
Work/Mobile*

Upload Photo
Max. file size: 64 MB.
Photo file needs to weigh at least 300KB. Otherwise it will be low resolution and low resolution photos will NOT print on your card.
IT IS IMPORTANT THAT YOU UPLOAD YOUR PICTURE SO WE MAY PRINT IT ON YOUR CARD.
YOUR PICTURE HELPS WITH IDENTIFICATION AND EXPERIENCE HAS SHOWN THAT CARDS WHICH HAVE THE OWNER'S PICTURE INCREASES THE CHANCES THAT YOUR FAMILY WILL AGREE TO YOUR WISHES TO BE AN ORGAN DONOR. THE CARD IS MEANT TO SHOW YOUR INTENT BUT ULTIMATELY YOUR FAMILY CAN SAY NO.
YOU MAY CHOOSE NOT TO UPLOAD YOUR PICTURE AND MOVE ON TO THE NEXT PAGE.
Upload Photograph
There are two ways to provide a photo of yourself so we may print it on your card.
EMAIL your photo to us at office@hods.org after completing this registration, or UPLOAD your photo now.
TIPS WHEN TAKING YOUR PHOTOGRAPH
1. Have someone else take your photo. Do NOT take a selfie.
2. Take the photo outdoors while you are standing in the shade.
3. Even though you are outdoors use the flash (you need to change the settings to force the camera to flash).
4. The background should be a wall but be standing at least 10 feet away from the wall.
5. You should smile, look right at the camera, don’t squint.
6. You should hold very still, and the person holding the camera should hold very still.
Donor Options
I agree to donate my life-saving organs only after the onset of my following selections:
CHOOSE ONE OF THE TWO OPTION*
- 1. irreversible cessation of breathing, which is confirmed by brain-stem death. Medically, this allows for donation of all organs. This criterion is the position of the Chief Rabbinate of Israel.
- 2. irreversible cessation of heartbeat, provided that no invasive preparatory procedure is done prior to cessation of heart beat. Medically, this option only allows the donation of skin and corneas.
Donor Options
I agree to donate my organs for life saving transplantation – not for research – upon the onset of either:
CHOOSE ONE OF THE TWO OPTION
- 1. Unconsciousness coupled with irreversible cessation of autonomous breathing that is confirmed by the diagnosis of whole brain death.
- 2.Unconsciousness coupled with irreversible cessation of heartbeat. (Medically this limits the number of organs that may be recovered, and in Australia there are unique medical protocols for this type of donation that include significant halachic challenges.)
In both of these cases – before consent for organ donation is given by the family – a rabbi appointed by the Sydney Beth Din must confirm the determination of death and oversee the procedure to ensure utmost care and respect is given to the cadaver.
Membership Fees
THE FOLLOWING TEXT WILL APPEAR ON YOUR CARD

Any and all preparations for transplant should begin after consultation with a family-appointed Rabbi. Transplants may commence only after a medical team, that is independent of the attending physicians and that is unaware that I am a potential organ donor, determines death as I have dictated above. All medical procedures must be done with proper respect and minimum damage to the cadaver.

I understand that the HOD Society will share my donor information with domestic and international databases provided that my specific requests are accurately conveyed.
Total
$0.00
Captcha
Please type the letter or number you see here
In order to complete registration please pay the $18 annual fee.

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Hods Memebrship Registration Form with fees

Step 1 of 3

Personal Information

Emergency Contact

Contact #1

Contact #2

Upload Photograph

Donor Options

Donor Options

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Hods Memebrship Registration Form with fees

Step 1 of 3

Personal Information

Emergency Contact

Contact #1

Contact #2

Upload Photograph

Donor Options

Donor Options

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Important
This site makes use of cookies which may contain tracking information about visitors. By continuing to browse this site you agree to our use of cookies.