See if you’re qualified to donate on behalf of
Robert Vander Hooning.

The National Kidney Registry offers several programs and protections to support individuals through the donation process, making the donation experience as safe, convenient and positive as possible.

Providing your contact information or filling out the questionnaire does not obligate you to become a donor. You are free to opt out of the process at any time.

Thank you for your interest in becoming a living donor and saving a life!

* First Name as it appears on State-Issued ID

Middle Initial:

* Last Name as it appears on State-Issued ID

* Preferred Name e.g., First Name John but go by Jack

* E-Mail

* What is your preferred language?

* Authentication Preference

Text-Messaging + Email U.S. mobile numbers only

optional U.S. Mobile Phone:

By providing your mobile number, you are agreeing to allow us to communicate with you about your registration via text/calls for the purposes of authenticating your registration and helping you with the organ donation process.

HIPAA Release *

By checking this HIPAA Release, you agree to allow us to store your information and to contact the center with the information you provided.

See if you’re qualified to donate on behalf of Robert Vander Hooning.

See if you’re qualified to donate on behalf of
Robert Vander Hooning.