A potential match

Health questionnaire

During the health questionnaire, we will discuss your health history. This information is confidential and used to ensure that there are not any medical or health-related factors preventing you from donating.

Last updated: 05/13/2022

We need this information to ensure that there are not any medical or health-related factors preventing you from making a donation.

Once your health history form has been completed, your Workup Coordinator will reach out over the phone to review the information you provided. At that time they will ask any necessary follow-up questions.

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