
First, the fine print…
Notice for New Donors
Participation with LeukoLab requires the following:- Valid phone number and email
- Photo ID
- Reliable transportation
- A valid social security number for tax purposes
- Residence within an hour of our facilities
- Some weekday morning availability
- Are pregnant or breastfeeding
- Are under the age of 18 years old
- Are under our weight requirement of 130 lbs (weight will be assessed on-site)
- Have donated blood in the past 8 weeks or are donating blood elsewhere
By completing this form, you agree to be contacted for all research studies conducted at LeukoLab or its partner locations.
This questionnaire is to be completed only once. If you are already a qualified donor with us, please visit I Want To Donate Again. The information obtained from this screening will be kept confidential to the extent required by law. All information will be password protected to maintain confidentiality.