You don't know her, but she is forever gratefull

Transfer form plasma donation

Yes, I am a long time blood donor at Sanquin and I would like to donate plasma.
I would like to register for the plasma health check.

My blood type is not A-negative, B-negative-, AB-negative or O-negative.

Your last name at birth. We will register you with this name.

Your last name at birth. We will register you with this name.

This is the name we will use for correspondence.

This is the name we will use for correspondence.

(dd-mm-yyyy)
Click on the calender icon to enter your date of birth

Click on the calender icon to enter your date of birth

The numbers are underneath the largest barcode on your donor card.

The numbers are underneath the largest barcode on your donor card.

In the last 5 years I've been vaccinated against *
Please select the donor venue where you would like to donate plasma.

Please select the donor venue where you would like to donate plasma.

I agree with this statement *

* Mandatory fields


Can I give blood right now?

More information