Donor health check form (sample)
Published:
Every blood donor has to fill in a form giving information about themselves and their medical history each time they come to give blood. This sample leaflet shows you what the form looks like and the questions asked, but is watermarked, and cannot be used.
Documents
Donor health check form (sample) (Aug 2025)
PDF · 696 KB
Donor Health Check Form (Sample) (NATF 155 19 – HTML)
HTML Document
Information:
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