SURGICAL TISSUE REQUEST FORM
 
FOR EYE BANK USE ONLY

ODOS

*EBAA Medical Standards REQUIRE that we now obtain information regarding the “Type of Surgery” performed AND the “Indication for Keratoplasty” as part of our statistical reporting requirements and to maintain our accreditation status. *

If you have not received a confirmation fax from Southern Eye Bank within 1 business day with a Schedule #, please call 504-891-3937