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PRE- SCREENING QUESTIONS

For ALL Potential Donors:

  • Do you have one of the infectious disease, auto-immune disease or polyclonal antibodies required?

  • Can you provide a recent, verifiable test result from your healthcare provider?

  • Are you at least 18 years old?

  • Do you weigh at least 110 pounds?

  • Do you live in the United States?

  • Do you have 2 pieces of identification. Photo I.D. and proof of Social Security Number or INSN (Immigration Naturalization Services Number)

  • Have you never tested positive for Hepatitis C or HIV?

  • Are you not currently pregnant?

  • Are you willing to travel to an FDA licensed donor center and provide a plasma donation? If a center is not located near you, and you qualify to participate, your travel expenses will be covered.

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If you answered YES to these questions, you may qualify to participate in our Plasma Donation Program!  Please fill out the FORM below.

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Please note:

 

iDonor is seeking specific diseases at specific levels. Due to this, not all patients will qualify. Bringing this form to our attention does not obligate you to participate in our programs.

 

iDonor will maintain the confidentiality and security of any information it receives.

See Privacy Statement

Clicking SUBMIT signifies your agreement to initiate the process and confirms your acceptance of the privacy policy. We will be in touch with you shortly. Thank you
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