Gratis Ocular Tissue Program Patient Application – English

A sample of content in this file:

Dear Patient (or Guardian),

You are being considered to receive a wonderful gift made possible by an organ and tissue donor,which would be fulfilled for you by the Lions World Vision Institute in Tampa, FL. We are one of thelargest eye banks and ocular research centers in the world and we are committed to setting newstandards for ocular endeavors that will improve visual outcomes and quality of life for those who areblind or visually impaired. Our vision is to help people see.

If approved for this gift of ocular tissue, we ask you to consider sharing your story of how thislife-changing experience has affected you and your family. With your permission, your story willbe shared to inspire others to become cornea donors, contribute to this program to help otherpatients in need, and share stories of restored sight with individuals needing a cornea transplant.

If you would like to share your story, please complete the pre-op questionnaire and sign the releasethat follows to give us your consent to contact you and share your story.

Thank you in advance for participating in this program and providing the details of your journey inreceiving the gift of sight.

Most sincerely,
James Rosa
Donation Program Consultant
Lions World Vision Institute