One Blood Direct Donation Form

Directed Donation: (From One Blood website)

Directed donations must be made at least 72 hours before the patient will need a transfusion and no more than 30 days in advance. (Please be advised blood shipped to hospitals outside of the OneBlood service area may require additional time.)

You will need to provide the patient’s name, date of birth, social security number, physician name, hospital name, and the expected date the blood will be used.

Donors wishing to initiate a directed donation are encouraged to complete the directed donor form to expedite the process. You will need to bring the completed form with you on the day you donate.

The donor’s blood must be compatible with the intended recipient’s blood and be eligible to donate blood. In the event, the donor’s blood is not compatible with the intended recipient or if the intended recipient no longer requires blood transfusions, your blood may be used to help other patients in need of a transfusion.

Pure Blood Registry patients: Please refer to ‘Request List’ page for additional information needed prior to procuring safe blood.