“In the matter of one year’s time, our lives turned upside down. Our healthy and athletic teenager was playing volleyball and soccer one week and was sent to see an abdominal specialist the next. We had never even heard of the Children’s Organ Transplant Association (COTA), but in a very short amount of time COTA Read More

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Liver Transplant Recipient

Balance Request FS

Balance Request

  • Please use your mouse or touch screen device to electronically sign this form. By doing so you state that you believe the entered information is accurate and that the balance of COTA funds in honor of this patient is subject to change depending upon approval of expenses and timing of donations.