Register as a Donor

Click here to understand your legal rights as a registered donor in Arkansas.

Update Registration Information: If you have already registered online to become an organ, tissue and eye donor you can update your registration information by entering your information below and clicking “Login.”

	E-mail:

	Password:

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Register as a Donor

Yes! I wish to donate my organs, eyes, and tissues to save or enhance the lives of others.

If you would like to be a donor, but DO NOT live in the State of Arkansas, visit www.donatelife.net to learn how to register in your home state.

	Source:	ONLINE
	Registration Date:	11/21/2024
*	First Name:
	Middle Name:
*	Last Name:
*	Address 1:
	Address 2:
*	City:
	State:
	County:
*	Zip Code (+4 optional):	-
*	Date of Birth (mm/dd/yyyy):
	Ethnicity:	(choose the ethnicity you most identify with)
	Gender:	Male Female

*	ID
	Do you have a Arkansas Driver License? If yes, please register using your Arkansas Driver License Number (This will ensure that your registration preferences will be in sync with the Arkansas DMV record).
	Driver License:
	If not, do you have a Arkansas State ID? If yes, please register using your Arkansas State ID.
	State ID:

	The following influenced my decision to be a donor:

Optional

Supplying an e-mail address and password below will allow you to update your registration via our website.
	E-mail:
	Password:
	Confirm Password:

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