Printable Forms
California Central Coast customers click here for a list of forms. These are the forms currently available online. Click on the link to download a PDF of the form. If you do not see the form you need or the link is inactive, contact your local blood center. |
Reference Laboratory Request Form (BS 313) – This form is used to request testing through the immunohematology reference laboratory.
Report of Transfusion Associated Infection form (BS 314) – This form is used to report all clinically significant infections or infectious diseases in recipients of blood products that could have resulted from transfusion and for which another, more likely, cause is not apparent.
Special Collections Form (BS 365) –This form is used to document a physician’s request for an autologous donation, a directed donation or a therapeutic whole blood collection.
Attending Physician’s Request for Therapeutic Apheresis (BS 702)– This form is used to document a physician’s request for a Therapeutic Apheresis procedure.
Therapeutic Apheresis Informed Consent (BS 707A) – Physician uses this form to describe therapeutic apheresis procedures to the patient or legal guardian prior to the procedure being performed.
Report of Transfusion Adverse Reaction form (BS 962) – This form is used to report all transfusion adverse reactions which occur in blood or blood component recipients when the reaction is suspected to be due to an attribute specific to the donor or the processing of the blood product.
Inspection Checklist for products stored at 20-24°C (BS 983A)
Inspection Checklist for refrigerated storage units (BS 983B)
Inspection Checklist for frozen component storage (BS 983C)