Flyer Englisch - Nds. Ministerium für Soziales, Gesundheit und

Erklärung zur Organ- und Gewebespende
Für den Fall, dass nach meinem Tod eine Spende von Organen/Geweben zur
Transplantation in Frage kommt, erkläre ich:
oder
JA, ich gestatte dies, mit Ausnahme folgender Organe/Gewebe:
oder
JA, ich gestatte dies, jedoch nur für folgende Organe/Gewebe:
oder
NEIN, ich widerspreche einer Entnahme von Organen oder Geweben.
oder
Über JA oder NEIN soll dann folgende Person entscheiden:
Name, Vorname
Telefon
Straße
Platz für Anmerkungen/Besondere Hinweise
d e a u swe is
e
d
n
e
p
s
n
a
Org
O rg a n s p e n
s Tr an sp la nt
na ch § 2 de
O rg a n
accord
PLZ, Ort
DATUM
Declaration on donating organs and tissue
Decide for yourself!
JA, ich gestatte, dass nach der ärztlichen Feststellung meines Todes
meinem Körper Organe und Gewebe entnommen werden.
YES, I allow the removal of organs and tissue from my body, after the
doctors have pronounced me to be dead.
or
YES, I allow this, with the exception of the following organs/tissue:
or
YES, I allow this, however, only for the following organs/tissue:
or
NO, I object to the removal of organs or tissues.
or
The following person should decide whether it’s YES or NO:
Telephone
Street
tz es
c a rd
Donat
ing an
op egn dae n
rgansr
n 2 of
The H
uma
Geburtsdatum
n Tissu
e Act
ort
PLZ, Wohn
Straße
If, after my death, the possibility arises of donating organs/tissue for transplant,
I declare herewith:
Surname, first name
donor
ing to
Sectio
me
Name, Vorna
UNTERSCHRIFT
at io ns ge se
Surna
me, fi
rst
name
schenkt
Leben.
e unter
Organspend
Street
on
im Infotelef
alten Sie be
Fragen erh
rsönlichen
0.
pe
40
e
40
Date o
Ihr
90
f
/
00
f birth
Antwort au
fnummer 08
enfreien Ru
der gebühr
Post
code,
town
You c
an
teleph get answe
rs to y
one se
rvice,
o
by call ur persona
l
ing fr
ee on questions fr
sche
0800 /
nkt L
90404 om the Org
eben
an Do
00.
.
nor In
forma
tion
rgansp
ende
Postcode, town
Space for comments/special information
DATE
SIGNATURE
rganspende
schenkt Leben.
Herausgeber:
Niedersächsisches Ministerium für Soziales,
Frauen, Familie, Gesundheit und Integration
und den Netzwerkpartnern
Hinrich-Wilhelm-Kopf-Platz 2, 30159 Hannover
rganspende
schenkt Leben.
Organspendeausweis
Organspende
Decide for yourself!
nach § 2 des Transplantationsgesetzes
For you personally, your family and the doctors on the intensive care
ward, the organ donor card clarifies the situation. With the organ
donor card, any person can have it documented in written form that
Name, Vorname
he wishes to donate organs upon his death. This is the best guarantee
for your own will to be taken into account. You can give unqualified
Straße
Geburtsdatum
PLZ, Wohnort
which means excluding certain organs and tissue from the donation;
or perhaps donate only certain organs and tissue, or object to donating
altogether. If you don’t want to make the decision yourself, or not immediately, then this can be transferred to another person, for example,
your spouse or another person you trust. In order to express your own
will unequivocally, only one of the five different possible declarations
should be crossed on. On the line for comments / special information,
you can name a person who should be notified in case of death, if,
for instance, they’re informed about the decision you’ve made, or can
provide information about an illness which could be important in the
context of donating an organ. Fill in the organ donor card clearly and
legibly. It’s best to keep it with the identity papers you have with you
every day.
Here you can find the German words for the organs
and their respective translation.
German
Herz
Lunge
Leber
Nieren
Bauchspeicheldrüse
English
Heart
Lung
Liver
Kidneys
Pancreas
German
Darm
Teile der Haut
Hornhaut der Augen
Gehörknöchelchen
Herzklappen
Please fill in the organ donor card legibly and detach it from the leaflet.
agreement to the removal of organs and tissue, or limit the donation,
rganspende
schenkt Leben.
Antwort auf Ihre persönlichen Fragen erhalten Sie beim Infotelefon Organspende
unter der gebührenfreien Rufnummer 0800 / 9040400.
Organ donor card
E n g li s h
according to Section 2 of The Human Tissue Act
Donating an organ
Surname, first name
Street
Date of birth
Postcode, town
rganspende
schenkt Leben.
You can get answers to your personal questions from the Organ Donor Information
telephone service, by calling free on 0800 / 9040400.
English
Intestine
Parts of skin
Cornea
Hearing bones (auditory ossicles)
Heart (cardiac) valves
German
Blutgefäße
Hirnhaut
Knochengewebe
Knorpelgewebe
Sehnen (Gewebe)
English
Blood vessels
Meninges (skin of brain)
Bone tissue
Cartilage tissue
Tendon (tissue)