Donor Screening
More information can be found on our
Blood Donation page
.
# of YESes (Cat)
# of YESes (Dog)
# of YESes (Cat2)
First Name
*
Last Name
*
Email
*
example@example.com
Phone Number
*
Your pet's name
*
Species
*
dog
cat
Does your cat weigh at least 4.5 kg (10lbs)?
Yes
No
Is your cat greater than 1 years old and younger than 8 years old?
*
Yes
No
Is your cat indoor only?
*
Yes
No
Can you confirm that your cat has NOT had a blood transfusion in the past?
*
Yes
No
Is your cat up to date on all vaccines?
*
Yes
No
Has your cat been fed a commercially formulated cat food?
*
Yes
No
Can you confirm that your cat is NOT currently receiving any treatments for chronic conditions?
*
Yes
No
Does you cat have an agreeable temperament that allows for administration of mild sedation?
*
Yes
No
Is your dog greater than 1 years old and younger than 8 years old?
*
Yes
No
What breed is your dog?
*
Does your dog weight at least 22.7kg (50lbs)? If you are unsure please weigh your pet, or bring them to BBVSH to be weighed.
Yes
No
Is your dog spayed/neutered?
*
Yes
No
Can you confirm that your dog has NOT received a previous blood transfusion in the past?
*
Yes, that's correct
No, s/he has received blood transfusions in the past
Is your dog up to date on all vaccines and be receiving regular flea/tick/heartworm/deworming preventative medications?
*
Yes
No
Has your dog been fed a commercially formulated dog food (i.e not raw fed)?
*
Yes
No
Can you confirm that your dog is NOT receiving any long-term treatments for chronic conditions?
*
Yes, that's correct
No, s/he is receiving treatment for chronic conditions
Does your dog have an agreeable temperament?
*
Yes
No
OPTIONAL: How did you discover our blood donation program?
who, when, where, how, what
Submit
Should be Empty: