(a) Whenever a request for consent is made pursuant to § 7-1531.24, the hospital or hospice representative making the request shall complete a certificate of request for an anatomical gift on a form to be supplied by the Mayor. The certificate shall include the following:
(1) A statement indicating that a request for an anatomical gift was made;
(2) The name and affiliation of the person making the request;
(3) An indication of whether consent was granted and, if so, what organs and tissues were donated; and
(4) The name of the person granting or refusing the request, and his or her relationship to the decedent.
(b) A copy of the certificate described in subsection (a) of this section shall be included in the decedent’s medical record.