Get the free Blood Donation (Transmittable Diseases) Donor Form 2004 - legislation act gov

This document is a donor form used for blood donation in the Australian Capital Territory. It includes a questionnaire regarding the donor's medical history and health status to ensure the safety

How to fill out blood donation transmittable diseases

How to fill out Blood Donation (Transmittable Diseases) Donor Form 2004

1. Begin by downloading or obtaining a copy of the Blood Donation (Transmittable Diseases) Donor Form 2004.
2. Fill in your personal information at the top of the form, including your name, address, contact number, and date of birth.
3. Answer the questions regarding your medical history accurately, including past illnesses and any transfusions received.
4. Indicate any recent travel history outside of your country, as this may affect your eligibility.
5. Provide information about any medications you are currently taking or have taken in the past.
6. Respond to questions about high-risk behaviors, such as drug use or unprotected sex, which may impact your blood safety.
7. Read the consent section carefully and agree to the terms before signing the form.
8. Review the completed form for any errors or omissions before submitting it.
9. Submit the form to the appropriate blood donation organization when attending your appointment.

Who needs Blood Donation (Transmittable Diseases) Donor Form 2004?

1. Individuals wishing to donate blood, particularly those who may be involved in community blood drives.
2. Healthcare organizations that require screening for transmittable diseases from potential blood donors.
3. Blood donation centers needing to ensure the safety of the blood supply.
4. Regulatory bodies monitoring and ensuring the safety standards in blood donation practices.

People Also Ask about

Can you donate blood if you lived in the UK during mad cow disease?

The Food and Drug Administration (FDA) updated its vCJD guidelines and it means most people who traveled, lived, or had a transfusion in the United Kingdom, Ireland and France from 1980 to present are now eligible to donate blood, as long as they meet all other donor eligibility requirements.

What three diseases exclude you from donating blood?

Permanent Reasons People Can't Donate Have ever had a positive test for HIV (AIDS virus) Are a hemophiliac. Had viral hepatitis B or hepatitis C. Had certain forms of cancer (contact us regarding medical eligibility at 800.688. 0900)

Can I donate blood for mad cow disease?

If you have been diagnosed with vCJD, CJD or any other TSE or have a blood relative diagnosed with genetic CJD (e.g., fCJD, GSS, or FFI) you cannot donate. If you received an injection of cadaveric pituitary human growth hormone (hGH) you cannot donate.

Is donated blood tested for infectious diseases?

Health conditions: People with certain diseases or health conditions (e.g., sickle cell disease, HIV, cancer, malaria) may need to consult with their donation center to discuss eligibility. Additionally, you are not eligible to donate if you received a blood transfusion in the last 3 months.

Why can't I donate blood if I lived in the UK between 1980 and 1996?

Another rule preventing people who had received a blood transfusion in the UK from 1980 onwards from donating was discontinued on 13 November 2023. These rules were related to the fatal variant Creutzfeldt-Jakob disease (vCJD, the human form of the bovine condition sometimes known as 'mad cow disease').

Can I donate blood if I lived in England during Mad Cow Disease?

All blood donations are tested for multiple disease markers, including, but not limited to, Hepatitis virus types, HIV, West Nile virus and Zika virus.

Who can't donate blood in the UK?

You can't donate blood if you: have had most types of cancer. have some heart conditions. have received blood, platelets, plasma or any other blood products after 1 January 1980.

For pdfFiller’s FAQs

What is Blood Donation (Transmittable Diseases) Donor Form 2004?

The Blood Donation (Transmittable Diseases) Donor Form 2004 is a medical document used to collect information from donors regarding their health and behaviors that may affect the safety of blood transfusions, specifically concerning the risk of transmitting infectious diseases.

Who is required to file Blood Donation (Transmittable Diseases) Donor Form 2004?

Any individual who wishes to donate blood is required to fill out the Blood Donation (Transmittable Diseases) Donor Form 2004 before their donation to assess eligibility and safety.

How to fill out Blood Donation (Transmittable Diseases) Donor Form 2004?

To fill out the Blood Donation (Transmittable Diseases) Donor Form 2004, a donor must provide personal information, answer health-related questions truthfully, and disclose any relevant medical history or risks that may affect blood safety.

What is the purpose of Blood Donation (Transmittable Diseases) Donor Form 2004?

The purpose of the Blood Donation (Transmittable Diseases) Donor Form 2004 is to evaluate the donor's health status, ensure the safety of the blood supply, and protect recipients from potential infections and diseases transmitted through blood transfusions.

What information must be reported on Blood Donation (Transmittable Diseases) Donor Form 2004?

The form requires donors to report their personal details, including name, contact information, medical history, any recent travel, sexual behavior, and potential exposure to transmittable diseases, as well as other health-related questions.