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Blood donation medical history form

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blood donation medical history form

Have you ever been tested for HIV? If ''Yes'' what was the reason? Voluntary. Employment. Insurance. Medical advice. Other: Have you ever had. Prior to completing the medical history questionnaire, donors MUST FIRST READ Blood Donor Educational Material. The questions below will be answered YES. Vitalant, one of the nation's oldest and largest nonprofit community blood service providers, supplies comprehensive transfusion medicine services to nearly 1,​.

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New Electronic Donor History Questionnaire - Blood Donor Center Blood donation medical history form who have undergone acupuncture treatments are acceptable. Review the Medication Deferral List. Acceptable if you were vaccinated for influenza, pneumonia, tetanus or meningitis, providing you are symptom-free and fever-free. You can call to blood donation medical history form with an eligibility specialist about your travel. If you live with or have had sexual contact with a person who has hepatitis, you must wait 12 months after the last contact. What date did you return to the U. Wait at least 6 months after a change in your heart condition that resulted in a change to your medications.

Blood donation medical history form -

Those younger than age 17 are almost always legal minors not yet of the age of majority who cannot give consent by themselves to donate blood. Eligibility Requirements. Students who donate at high school drives and donors 18 years of age or younger must also meet additional height and weight requirements for whole blood donation applies to girls shorter than 5'6" and boys shorter than 5'. Y N 22 Had or been treated for syphilis or gonorrhea? In the last 12 months have you taken illegal steroids with a needle? blood donation medical history form

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