Download relevant forms for donation

Parent Consent

Donating blood is an easy way for younger blood donors to show school pride and significantly help the communities in which they live. Becoming a volunteer blood donor at an early age helps establish a lifelong commitment to community service and saving lives.

PARENTS/GUARDIANS: Be sure to read the following information before printing and signing the consent form giving your minor donor permission to donate blood.

• Parent/Guardian Information, Acknowledgment, and Consent for Minor/Student Donors 
  •  (View the Spanish Version)
• Information and Instructions for Your Blood Donation  
  • (View the Spanish Version)
• Use of Donor Information, Blood, and Blood Samples in Research  
  • (View the Spanish Version)
• Informed Consent for Donation of Platelets, Red Blood Cells and Plasma by Automated Collection Methods  
  • (View the Spanish Version)

Students who are interested in blood donation must:

• Must be at least 16 years old. If 16-years-old, a signed parent guardian consent form is required each time you donate.
  • 17-year-old donors do not need parental or guardian consent unless they live in these states (or their school requires it): Arizona, Colorado, Idaho, Montana, Utah, Washington or Wyoming.
• Weigh at least 110 pounds. 
• Minimum height and weight for donors 16 through 22 years of age: 
  • Male donors: Must be at least 5'0" tall and weigh at least 110 pounds
  • Female donors: Refer to the chart below for eligibility. ≥ (greater than or equal to).  
• Be in good general health.

Learn more about blood donation eligibility or call us at 877-25-VITAL (877-258-4825). Thank you for supporting our lifesaving mission!

Notice of Privacy Practice

This information is relevant for individuals receiving Vitalant’s HIPAA covered healthcare services.

Notice of Privacy Practice (Spanish Version)

Reinstatement Form

Thank you for your interest in donating blood and helping to save lives! Please complete the following reinstatement form* if you were:

1. Previously deferred from giving blood by Vitalant (or one of our legacy blood centers),
   or
2. Told by Vitalant you were ineligible due to a deferral that was applied to your donor record.

*You will be contacted via email or mail once your reinstatement has been completed. Due to the high volume of reinstatement requests, it could take up to 8 weeks before we are able to review and respond to your reinstatement request. Thank you for your patience.

Note: If you have never donated with Vitalant (or one of our legacy blood centers), please check our current donor eligibility information. Please do not complete the form below if you have not donated with Vitalant or one of our legacy blood centers.

You will be contacted via email or mail once your reinstatement has been completed.