Lifebanc Research Application for Organ and Tissue


Lifebanc is an incorporated not for profit organization which promotes medical excellence in organ and tissue donation and transplantation and recovers and provides human organs and tissues for transplantation and medical research.  As part of our mission, Lifebanc supports basic science and clinical research that seeks to advance the fields of transplantation and medicine as is consistent with the mission, vision and values of our organization. 

Lifebanc supports the rights of donor families to make an informed decision regarding participation in medical education and research.  However, Lifebanc will not participate in obtaining consent or recovering organs and tissues for research if doing so compromises its ability to obtain organs and tissues for transplantation. 

Download the printable application and return the completed form to the Lifebanc Chief Quality & Regulatory Officer for processing.


Paul’s new-found energy and continued love of life would not have been possible without donors and their families “who must love and care in order to give a gift of love and life. There is no way that I can ever repay these families. My prayers include the unknown persons who donated the heart valves that extended my life. I will be forever grateful for these gifts.”"

Paul P. Fischer - Aortic valve transplants

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