Contents of the Template:
- Personal Information: This captures details like full name, date of birth, gender, contact number, email address, and home address.
- Emergency Contact Information: Essential in case of any unforeseen circumstances, this section records the name, relationship, and contact number of the donor’s emergency contact.
- Health History Information: A deep dive into the donor’s health records, including weight, height, any previous instances of bloodborne diseases, recent travels, medications, vaccinations, transfusions, tattoos or piercings, and chronic health conditions.
- Consent: A declaration section where donors affirm the authenticity of the provided information.
- For Office Use Only: Reserved for medical professionals to record data related to the blood donation, like hemoglobin levels, blood pressure, temperature, pulse rate, and blood type.
Why Use This Template:
- User-friendly Layout: The template is structured in an organized manner, making it easy to fill out and review.
- Versatility: With formats available in Word and Google Docs, it caters to different user preferences.
- Accuracy: It ensures that all relevant information is collected, minimizing any oversight.
- Efficiency: Streamlines the blood donation process, allowing for quick assessments of donor eligibility.
Ideal For:
- Blood Banks: Whether it’s a permanent center or a mobile blood donation drive, this template suits all.
- Hospitals: Medical institutions hosting blood drives or accepting direct blood donations can benefit from this form.
- Medical Camps: For organizations running health or disaster relief camps, this template aids in efficient blood collection.
- Universities and Colleges: Educational institutions hosting blood donation drives can utilize this template to manage and review donor information efficiently.
