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Qualify to Donate

We appreciate your interest in becoming a plasma donor with Hemologics Research. To ensure the safety and effectiveness of plasma donations, we ask that all potential donors meet a few important criteria. Please review the following eligibility questions to see if you qualify.

Donor Pre-Screening Questions:

  • Do you have any of the specific infectious diseases, autoimmune diseases, or polyclonal antibodies required for plasma donation?
  • Can you provide a recent, verifiable test result from your healthcare provider?
  • Are you at least 18 years of age?
  • Do you weigh at least 110 pounds?
  • Is your primary residence in the United States?
  • Can you provide two forms of identification, including a photo ID and either a Social Security Number or an INSN (Immigration Naturalization Services Number)?
  • Have you never tested positive for Hepatitis C or HIV.
  • Are you currently not pregnant?
  • Are you willing to travel to a donor center to provide your plasma? (If you qualify and a center isn’t nearby, travel expenses will be covered.)

If you answered YES to these questions, you may be eligible to participate in our Plasma Donation Program! Please complete the form below to begin the qualification process.

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Pre-Qualification Form

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Name*
Address*
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Disclaimer: Hemologics Research 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 Hemologics will be kept confidential and secure.
This field is for validation purposes and should be left unchanged.

Infectious Disease Types Needed

  • Adenovirus
  • Toxoplasmosis–Chagas Disease
  • West Nile Virus
  • Cytomegalovirus (CMV)
  • Celiac Diseases
  • Epstein Barr Virus (EBV )
  • Herpes Simplex Virus
  • Herpes Simplex Virus
  • Hepatitis-A
  • Hepatitis-B
  • Mononucleosis
  • HIV (Type 2 on O only)
  • Lyme Disease
  • Measles-IgM, Mumps
  • Rubella
  • Syphilis
  • Varicella-Zoster
  • Rocky Mountain Spotted Fever
  • Fungals (Aspergillus, Blastomyces, Cryptococcus)

Antibodies Needed

  • Anti-c
  • Anti-k
  • Anti-C
  • Anti-kell
  • Anti-CD
  • A,B,O rh
  • Anti-CDE
  • Anti-Cw
  • Anti-E
  • Anti-e
  • Anti-Fya
  • Anti-Fyb
  • Anti-Jka
  • Anti-Jkb
  • Anti-Jsa