Thank you for being a true voluntary blood donor.
This form will take you through some important pre-screening questions. Once completed, you can book your appointment to donate at your preferred location. We welcome all blood groups!
40 minutes to donate, can make the Lifetime of Difference to someone in need.
Please read and answer all questions truthfully.
Kindly note that you will be asked additional medical questions on the day of your appointment.
If you have any of the medical conditions listed below or if any of the following applies, you will not qualify as a suitable candidate for blood donation at this time:
1.
Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV/AIDS) or in sexual contact with someone who is HIV+ (Learn More:
https://bit.ly/3ziI3F4)
2. Syphilis or in sexual contact with someone who has Syphilis (Learn More:
https://bit.ly/3mlazhO)
3.
Hepatitis B (Learn More:
https://bit.ly/3PZUP1g)
4.
Hepatitis C (Learn More:
https://bit.ly/3xnnar9)
5. Human T Lymphotropic Virus 1 (HTLV-1) (Learn More:
https://bit.ly/3thQVao)
6. Haemophilia (Learn More:
https://bit.ly/3Q24ZOU)
7. Transplant recipient or graft of a tissue, organ or bone marrow
8.
Chagas
9. Visited a Chagas-endemic country within the last three (3) months -
https://bit.ly/3mCqHvD10. Visited a Malaria-endemic area within the last three (3) months -
https://bit.ly/3aBN3dD11. Tattoo, acupuncture or body piercing within the last three (3) months
12. Major surgery including C-section within the last three (3) months
13. Accidental needle stick within the last three (3) months
NB* Females should not donate more than three (3) times over a twelve (12) month period.
Males should not donate more than four (4) times over a twelve (12) month period.
For further information, please contact any of the following blood donation centres listed below:
Port of Spain
Phone: 624–7524, 397-7328
Eric Williams Medical Sciences Complex
Phone: 645-3232 Ext. 2008
San Fernando
Phone: 225-4325 Ext. 3215
Point Fortin
Phone: 225–4325 Ext. 4878, 4879
Sangre Grande
Phone: 226–9780, 226-9779
Arima
