PLASMA DONATION FORM
Thank you for your helping by donating plasma!

 Eligibility for donation:
1. recovered from COVID-19 between November 2020 - Now.
2. You will need to have recovered 14 days ago.
Note: Once you have donated, you need to wait for another 14 days to donate again.

We need the following information:
...
Kindly note- your private details will not be shared on any public platform.
Email *
Name *
Mobile number *
Age *
Blood group *
AGE *
WHICH CITY ARE YOU FROM? *
Do you have any medical issue? *
Have you donated plasma before? *
IF you HAVE donated plasma before-WHEN?
When did you recover from covid-19                     (MONTH AND YEAR INFO) *
Any comments, questions, suggestion, information you wish to share.
A copy of your responses will be emailed to the address you provided.
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