Just one donation can help save the lives of up to three people.
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, 4 MB)
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).
Login using your online or NZ Blood Service Donor App login details.
If you do not have a login please Register Now, using the button below.
Once registered, your login details will be the same for both the website and the NZ Blood Service Donor app.