Donor health questionnaire

Donor form

All donors are required to complete a Donor Health Questionnaire, called a Donor Session Record Form, which includes a detailed health questionnaire whenever they present to donate blood.

Once completed, donors sign a declaration that to the best of their knowledge the health information given is correct.

They also consent to the testing for blood groups and evidence of some infections in the blood that they donate.

Donor Session Record Form
Donor Session Record Form (pdf, 105 KB)

Please note the form provided here is for viewing purposes ONLY.

Please do not print this out and complete this in advance, as a form will be made available to you on arrival at the Donor Centre or Mobile.

 

Note: if you have recently travelled overseas, please check the Donating after Travelling tool to check when you can book your next appointment to donate.

You may need to download Adobe Reader to view the PDF files. It is available free from the Adobe site (external link) .

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