Join Our Donor Family Facebook Group

If you are interested in joining our private Donor Family Facebook Group, please complete the form below. A representative from Midwest Transplant Network will be in touch with an invitation to join the group, or to request more information if needed. Before completing the form, please read our terms and conditions.

Email address associated with your Facebook account*
Facebook user ID*
Your name*
First Last
Phone number*
Donor's name*
First Middle Last
Donor's date of birth*
Donor's date of death*
If your loved one died in a state other than Missouri or Kansas, please list which state:
I am the donor's*
Comments/questions
Terms and conditions*
- I read and agree to the Facebook terms and conditions (link above).
Email
This field is for validation purposes and should be left unchanged.

1900 W. 47th Place, Suite 400
Westwood, KS 66205
913-262-1668