To cancel your enrollment in the Mississippi Donor Registry please download the Registry Removal form, complete and mail to:
Mississippi Organ Recovery Agency
499 Gloster Creek Village
Tupelo, MS 38801
e-mail the completed form to firstname.lastname@example.org.
You will receive a letter of confirmation regarding your decision to be removed from the Mississippi Donor Registry in the mail.
*Note - If you are acting on behalf of someone physically unable to complete and sign the Registry Removal form, please contact our offices at 1-800-690-8878 Monday through Friday between the hours of 8 a.m. to 4:30 p.m. for a third party removal form.