April 28, 2025, 12:00 p.m.
The Hospitalist Team
In Missouri, teens can apply for a driving permit starting at age 15. During the application process, they'll be asked, "Do you consent to be listed in the Donor Registry System as an organ, eye, and tissue donor?" For many teens, this is their first significant medical decision. Discussing organ donation with your teen beforehand can help them make an informed choice.
Why this conversation matters
Organ donation is voluntary in Missouri. If your teen chooses to register as a donor at the license office, their name will be added to the Missouri Donor Registry, maintained by the Department of Health and Senior Services. They can also opt to have a red heart with a green ribbon and the word "Donor" placed on their license or permit, symbolizing their decision. This designation serves as legal consent for organ and tissue recovery in the event of their death. Importantly, registering as a donor does not affect the medical care they receive; organ and tissue donation is only considered after all lifesaving efforts have been exhausted.
When to start the conversation
Starting a conversation with your teen about organ donation is a meaningful step in supporting their autonomy and values. April is recognized as National Donate Life Month and is a timely opportunity for this discussion. However, it's beneficial to have this conversation at any point before your teen's visit to the license office.
Begin by choosing a calm, private setting where your teen feels comfortable and open to discussion. Start by sharing your own perspectives or experiences related to organ donation, which can serve as a natural segue into the topic. Encourage your teen to ask questions and express their thoughts so the conversation remains a two-way dialogue.
Provide balanced and accurate information, discussing both the benefits and considerations of organ donation. For instance, explain how one donor can save multiple lives and improve the quality of life for many others. Address any misconceptions they may have, such as concerns about medical care for registered donors, by clarifying that organ donation is only considered after all lifesaving efforts have been exhausted.
Discuss your family's values and beliefs to provide context, but emphasize that the decision ultimately rests with them. Reassure your teen that their choice will be respected and that they can revisit and change their decision at any time. By providing an open, judgment-free environment, you allow your teen to make an informed decision that aligns with their personal values.
Understanding Missouri's donor registration process for minors
In Missouri, the process of registering as an organ, eye, and tissue donor varies based on age and legal status:
- Ages 15–17: Teens in this age group can express their intent to become organ donors by registering. However, if they are not emancipated minors, a parent or legal guardian will make the final decision regarding donation at the appropriate time.
- Emancipated minors: Individuals under the age of 18 who are legally recognized as independent from their parents or guardians can provide full legal consent for organ and tissue donation without parental approval.
- Age 18 and older: Individuals aged 18 and above can legally authorize their own organ and tissue donation without parental consent.
What teens should know
It's important for teens to understand that registering as an organ donor is entirely their choice. There is no right or wrong answer; it is what feels right to them based on their personal beliefs and values. They should also know that the decision isn't permanent. If they change their mind in the future, they can update or remove their registration by visiting the "My Record" section of the Missouri Donor Registry or by calling 888-497-4564. In addition, donor registration information is kept confidential and is only accessed by authorized personnel in the event of a qualifying medical situation.
Additional considerations for parents
Deciding whether to become an organ donor is a significant and personal choice, and for many teens it's their first major medical decision. By discussing it before the license office visit, you help your teen make an informed decision that reflects their values, rather than a choice made under pressure at the counter.
