Text Us: 561-255-7542
WHAT IS REQUIRED?
DONOR QUALIFICATIONS
Before completing the Qualification Form, please carefully review the following pre-screening questions:
For all potential donors:
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Do you have any of the infectious diseases, autoimmune diseases, or polyclonal antibodies required?
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Can you provide recent and verifiable test results from your healthcare provider?
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Are you at least 18 years of age?
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Do you weigh at least 110 pounds?
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Do you reside in the United States?
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Do you possess two forms of identification, including a photo ID and proof of Social Security Number or INSN (Immigration Naturalization Services Number)?
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Have you never tested positive for Hepatitis C or HIV?
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Are you currently not pregnant?
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Are you willing to travel to an FDA licensed donor center to provide a plasma donation? If a center is not located near you, and you qualify to participate, your travel expenses will be covered.
If you answered YES to all of these questions, you may qualify to participate in our Plasma Donation Program! Please complete the FORM below and call us immediately at (561-255-7542)
GET STARTED
Complete the Qualification Form and a patient representative will be in contact with you!
Disclaimer: Daxia is looking for specific diseases and certain levels of those diseases. Therefore, not all patients will qualify. By completing this form you are in no way obligating yourself to participate in any of our programs. Information received by Daxia will be kept confidential and secure.
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DONOR QUALIFICATIONS