Revocation of Anatomical Gift Donation (Missouri)

This form revokes the anatomical gift made in Forms MO-P025 and MO-P025A that designate the body parts and organs an individual wishes to donate at the time of death. If the will, card, or other document or executed copy thereof, has been delivered to a specified donee, the donor may amend or revoke the gift by executing and delivering to the donee a signed statement, making an oral statement in the presence of two persons and communicating the same to the donee, making a statement during a terminal illness or injury addressed to an attending physician and communicating the same to the donee, or keeping a signed card or document on his person or in his effects. Any document of gift which has not been delivered to the donee may be revoked by the donor in the manner set out above or by destruction, cancellation, or mutilation of the document and all executed copies of the document. A gift made by a will may also be amended or revoked in the manner provided for amendment or revocation of wills, or as set out above. Specific reference is made to the earlier executed Anatomical Gift Donation. See Missouri Revised Statutes 194.210 to 194.290.