The first three sections are required to complete the donation process. This also will enable us to provide you with financial reimbursement of your time plus stop and/or waive storage fees.
Either print and notarize signatures, or complete online with our HIPAA secure form.
Answer Yes or No questions on the Donor Eligibility Questionnaires.
Answer multiple choice & fill in the blanks on Physical Characteristics forms.
We encourage both patient & partner to obtain a physical examination, performed for free at FTC or print the request(s) and visit any provider of your choice (have the complete form faxed to FTC or upload on this site).
We encourage both patient & partner to have blood drawn for FDA laboratory testing, performed for free whether blood is drawn at FTC or any LabCorp close to home.