Share my Story

Publicity consent form

Inspiring Kiwis to give blood

Ready to share your story? Great! We just need a few details from you first.

Please note that by providing your NHI number you are giving consent for NZBS to look up and confirm your use of blood components and products.

*required to be completed

Next Step

We'd love a photo of you if you have one.

Please make sure your photo is less than 4MB and has finished uploading before clicking 'Next Step'.

Max image size - 4MB. Allowed file types - jpg, png
Last Step Next Step

Please confirm the following before providing your consent

Please let us know if there are any ways or places you would not like your story or photograph to be shared. E.g. Television, Facebook.

*required to be completed

Last Step

Step 1 of 3

Processing your consent.

Thank you for giving your consent to allow us to share your story and/or photo. Stories like yours inspire people to donate blood and save and improve the lives of many others undergoing treatment in hospitals across the country.

If you want to talk to us about your online consent form or withdraw consent at any time, please call the NZBS Marketing and Communications Manager on 09 523 6486 or email us at info@nzblood.co.nz.

Please note, you can find the terms and conditions around sharing your story here: https://nzblood.nz/footer/accessibility-2/.

Regards,
The Team at New Zealand Blood Service