Convalescent Plasma COVID-19 Donor Request Form

Thank you for your interest in convalescent plasma donation and for your dedication to saving lives!  Convalescent plasma is plasma that is collected from a recovered COVID-19 patient who can now be a donor.  Recovered COVID-19 patients have plasma in their blood that should be rich in immunoglobulins that may be helpful to patients who are actively fighting a COVID-19 infection.

COVID-19 has no proven treatment, however, it is possible that donated plasma from people who have recovered from COVID-19 could help patients who are currently fighting the virus.

To be a convalescent plasma donor, you must:
  • Have had a positive COVID-19 test result that you can provide upon request
  • Be at least 14 days symptom free
  • Meet qualifications for plasma donation, including:

Please complete and submit this form if you had a positive COVID-19 test AND you have been symptom-free for over 14 days AND you are willing to donate plasma.

All information will be treated as confidential and will be used only to determine eligibility for participating in this type of donation.

If you have any questions, please contact us at 1-866-BLOODSAVES (1-866-256-6372).

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