Withdraw consent?

If you are registered with the Heart Tissue Bank as a donor, you can of course always withdraw your registration. You can notify the Heart Tissue Bank in writing and without stating a reason. We will then remove your registration from our donor-database.

Fill out and sign the form below to:

Netherlands Heart Institute
Attn. Heart Tissue Bank
Postbus 19258
3501 DG Utrecht


Unsubscribe form (Dutch)