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The Blood Connection Physician's Request for Directed Donation
Form must be completed by your physician and returned by email to your local blood donation center.
Please note the request must be emailed, not faxed.
Your request will be reviewed by our Medical Director. If approved, we will call to schedule your donation. All donations must be scheduled ahead of time to assure accurate and timely service, no walk-ins please!
If your request is not approved, your physician will be notified. Please allow up to 3 business days for completion of approval process.
For more information, please contact your local blood donation center
Form must be completed by your physician and returned by email to your local blood donation center.
Please note the request must be emailed, not faxed.
Your request will be reviewed by our Medical Director. If approved, we will call to schedule your donation. All donations must be scheduled ahead of time to assure accurate and timely service, no walk-ins please!
If your request is not approved, your physician will be notified. Please allow up to 3 business days for completion of approval process.
For more information, please contact your local blood donation center

