Taking the health history questionnaire online may save you about 20 minutes at the blood drive or blood center collection site. Refer to the aDHQ User Brochure v2.1 for criteria for use of the aDHQ and related materials. Remember, this can only be done the day of your donation!
Officially Recognized by the FDA in Guidance use of the aDHQ is limited to qualified frequent donors with no changes to their eligibility.
The donor questionnaire captures relevant information about you and your donation. Please don’t hesitate to send your questions regarding the v2.1 documents to Regulatory Affairs at The following six elements make up the aDHQ v2.1 System for blood donor screening: Access your coordinator account to manage your blood drive.Ready to experience the wonder? Find out how often you can donate blood and answers to more frequently asked questions about the blood donation process with American Red Cross blood services. It is a confidential questionnaire that helps decide if you are eligible to give blood. The questions below will be answered YES or NO. Advancing Transfusion and Cellular Therapies Worldwide If you plan to pull up the pass on your mobile device, please ensure you have received and can open it on that device before coming to the drive. Learn more about Vitalant’s response to COVID-19. Together let's do amazing.Submit orders, access forms and learn more about product and service offerings.If you have questions using the Fast Track Health History questionnaire, please review our Vitalant, one of the nation’s oldest and largest nonprofit community blood service providers, supplies comprehensive transfusion medicine services to nearly 1,000 hospitals and health care partners for patients in need across 40 states.Your zip code enables us to show you local information.
Abbreviated Blood Donor History Questionnaire (aDHQ), Version 2.1 April 2020. By using this site, you consent to these cookies. After submitting your zip code, use any donate button to schedule an appointment.We and our partners use cookies on this site to improve our service, perform analytics, personalize advertising, measure advertising performance and remember website preferences. If Talbert House invited Hoxworth to the Executive Offices (EO) in November or December, would you be interested in donating blood? Important Note: Please read the following documents prior to beginning the online Health History questionnaire. Please enable scripts and reload this page. Please turn on JavaScript and try again. Important Information: At this time, we are requiring staff and donors to wear a face covering or mask when participating in blood donation at a blood drive or at a donation center.
If there is a question you do not understand, or would like to discuss eligibility based on your responses, contact 1 888 2 DONATE (1-888-236-6283).
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Learn how to be a part of something bigger than yourself.Powered by purpose and passion. By using this site, you consent to these cookies. Become an AABB Accredited Facility (or Add a New Activity)AABB’s Standards-Compliant Product Evaluation ProgramCircular of Information for the Use of Human Blood and Blood ComponentsEvaluating Donors for Risk of Ebola Virus Infection Hematopoietic Progenitor Cell, Apheresis and Marrow Donor History QuestionnaireHematopoietic Progenitor Cell, Cord Blood Donor History QuestionnaireAABB Babesiosis Risk-Based Decision-Making Assessment Report Complete Your Fast Track Health History Questionnaire Online. Blood Drive Questionnaire Question Title * 1. At this time, we require both staff and donors to wear a face covering at blood drives or donation centers. I understand that my eligibility to donate blood will be determined at the blood drive or blood donation center. Appointments are also strongly recommended.Create or access your donor account, find a location and schedule an appointment.Already a Coordinator? Prior to completing the medical history questionnaire, donors MUST FIRST READ general blood donation material and a medication deferral list.. Please read important donor eligibility information about COVID-19 (2019 Novel Coronavirus). It looks like your browser does not have JavaScript enabled.
If you are trying to determine your eligibility to donate and answer “yes” to one of the questions (excluding #1 and #5) please call 650-723-7831 to clarify.
For more information about cookies, please see our Privacy Policy.Complete Your Fast Track Health History Questionnaire OnlineAt this time, we are requiring staff and donors to wear a face covering or mask when participating in blood donation at a blood drive or at a donation center. If you choose to print your pass, a laser printer is recommended. Vitalant, one of the nation’s oldest and largest nonprofit community blood service providers, supplies comprehensive transfusion medicine services to nearly 1,000 hospitals and health care partners for patients in need across 40 states.