Blood Donor Questionnaire Form ARCBS-DAP-L3-026 (Australia)

The mobile form includes fields to document items such as donor ID number, date, haemoglobin g/L, blood pressure (mmHg/mmHg) and comments. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your blood bank records. You can also use the App Builder to personalize and customize this mobile form. The app will ask you some questions about your general health to help us to decide if it is safe for you to give blood today and, if so, the best type of donation for you. All of these questions are important, and you need to answer each one honestly and the best you can. This is important to ensure your safety and the safety of patients who receive the blood products. There are severe penalties, including fines and imprisonment, for giving false or misleading information. If the app user has any questions, please have them discuss with the staff member who interviews you. The answers and anything shared in the interview is CONFIDENTIAL. The personal information collected on this app allows the Blood Service to register and retain you as a blood donor. All information collected will be handled in the strictest confidence in accordance with the Privacy Act 1988 (Commonwealth).