Get Full-length Donor History Questionnaire Full-length Donor History Questionnaire - Fda
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How to fill out the Full-Length Donor History Questionnaire - FDA online
The Full-Length Donor History Questionnaire is an essential form for individuals looking to donate blood, plasma, or platelets. Completing this questionnaire accurately ensures the safety of both donors and recipients by assessing potential health risks associated with donation.
Follow the steps to fill out the questionnaire correctly.
- Click the ‘Get Form’ button to obtain the questionnaire and open it in your selected editor.
- Begin by carefully reading the introductory materials provided in the questionnaire. This information is crucial for understanding the significance of each question and ensuring your eligibility to donate.
- Continue answering the subsequent questions, specifically noting if you are taking any medications listed on the Medication Deferral List. Provide truthful and accurate answers as they may impact your ability to donate.
- For questions related to recent activities such as vaccinations, blood donation, or any medical procedures, indicate your responses accurately within the specified time frames.
- As you navigate through sensitive questions regarding sexual contact, past medical history, and residence, ensure you understand each question fully before answering.
- If additional space is needed, use the designated area for any necessary explanations or comments to provide further context to your answers.
- Once all questions are answered, review your responses carefully to ensure accuracy. Misrepresentation can affect donation eligibility.
Complete your Full-Length Donor History Questionnaire online to contribute to lifesaving efforts!
Standard Laboratory Tests ABO typing (blood type) Rh typing (positive or negative Rh antigen) Screening for any unexpected red blood cell antibodies that may cause problems in the recipient. Screening for current or past infections, including the following: Hepatitis viruses B and C. Human immunodeficiency virus (HIV)
Fill Full-Length Donor History Questionnaire Full-Length Donor History Questionnaire - Fda
This guidance recognizes, as acceptable, the standardized fulllength and abbreviated donor history questionnaires and accompanying materials. Full-Length Blood Donor History Questionnaire Version 4.0 (DHQ v4.0), May 2023. Evaluate donor safety and compliance with the Full-Length PPTA Donor History Questionnaire (DHQ).
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