Forms

You are required to complete the Anatomical Gift Program application to enroll in UB's Anatomical Gift Program.

Note that the Declaration of Consent form authorizes the UB Anatomical Gift Program to accept a gift. It is not a legally binding contract.

Forms Required to Enroll

Anatomical Gift Program Application

Forms to Update Your Information and Preferences

Name / Address Change Request Form
Emergency Contact Form
Change Disposition of Ashes Form

Electronic Form Request

Forms can be requested online. Fill out the request form and have your selected forms sent to your home.

Request Form

Request Forms by Phone or USPS Mail

You can also request forms or send inquiries via phone, email or USPS mail.

University at Buffalo
Jacobs School of Medicine and Biomedical Sciences
Department of Pathology and Anatomical Sciences
Anatomical Gift Program
128 Farber Hall
3435 Main Street
Buffalo, NY 14214-3000

Phone: (716) 829-2913
Fax: (716) 829-2915

Email: smbs-anatomicalgiftprogram@buffalo.edu