Get Red Cross Blood Request Form

Filling out the Red Cross Blood Request Form online is a straightforward process that ensures your request for platelet testing is accurately submitted. This guide will provide you with step-by-step instructions to complete the form effectively.

Follow the steps to fill out the Red Cross Blood Request Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the patient information section, which includes the name, date of birth, and patient ID or medical record number. Be sure to provide accurate details as this information is crucial for processing the request.
3. Next, indicate the patient's gender and institutional affiliation by selecting the appropriate options in the specified fields.
4. Fill out the contact details for the person responsible for the request, including their name and phone number.
5. Specify the collection date and check the appropriate specimen type, which includes options such as serum or plasma. Make sure to indicate the anticoagulant type if applicable.
6. In the diagnostic platelet tests section, select the tests required by checking the appropriate boxes, such as platelet antibody identification or platelet crossmatch.
7. Detail the clinical conditions affecting the patient by selecting the relevant options provided, ensuring to specify any additional requirements.
8. In the platelet product requirements section, indicate the number of platelet products requested and specify the ABO/Rh types as needed.
9. Include any additional comments or special requirements in the designated section to ensure all pertinent information is captured.
10. After completing the form, be sure to save your changes, and download or print the form for inclusion with the sample vial as per submission instructions.

Complete your Red Cross Blood Request Form online today to ensure timely processing of your request.