DONATE NOW

Tissue Request Form

Physicians & Surgery Centers Only, click the Online Tissue Request Form below to order ophthalmic tissue.

 

Fill out the Online Tissue Request Form

 

Or...complete the PDF Tissue Request Form and email or fax it to Florida Lions Eye Bank. You will receive a confirmation email within 48 hours indicating that we received your eye tissue request.

 

Download Tissue Request Form (PDF)

 

Fax: (305) 326-6394

 

Email: FLEBDistribution@med.miami.edu

COOPERATING PARTNERS