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Donor health check form (sample)

05 December 2025

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.

Donor Health Check Form (Sample) 2025

05 December 2025
(PDF 720KB)

Current blood stock levels across Scotland Wednesday 17 December

We aim to retain 6 days of stocks at any time in order to meet the requirements of patients in Scotland.

Learn more about blood types