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MAKE AN APPOINTMENT - PLATELET

If you have not donated platelets, plasma or red blood cells at The Blood Connection before, we prefer that you donate whole blood first.

Complete this form, then click the "Make Apheresis Appointment" button at the bottom. You will receive confirmation of your appointment within one working day.

Do not use this form if you wish to donate for your own surgery, for someone else's surgery, or for medical reasons. Call 864-255-5004 ext.1025 to schedule this type of donation. To find out more, click here.

(Required fields are marked with an *)

First Name
  *
Last Name
  *
Birth Date (mm/dd/yy)
  *
Phone (Day)
  *
Phone (Evening)
  *
E-mail
  *
Address
  *
City
  *
State
  *
Zip Code
  *
Have you donated to The Blood Connection (or Carolina-Georgia Blood Center) in the past?
Choose the type of donation
you would like to make:
  *
Where would you like to donate?

  *

 
Appointment Date (mm/dd/yy)
- -       *
Appointment Time
:

 

Thank you for donating. It's About Life. Pass It On.

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