Donor Communication Form
We appreciate your support and value your feedback. Please use this form to communicate your questions, requests or praise. We look forward to hearing from you! Note: Based on volume of submissions, we may not be able to respond daily, therefore, if you have a reaction or illness following your donation, please contact us at (513) 558-1304 or if you have a medical emergency, please call 911. Thank you.
Your Name
*
First Name
Last Name
Donor ID
Numerical Value
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Contact Preference
*
Phone
Email
Select an area that best describes your feedback:
*
Donation Experience
I Have a Question
Book an Appointment
Host Blood Drive
Donation Eligibility
Donor Portal
Rewards
Promotional Item
Other
Select Area of Feedback
Provide feedback details:
*
SUBMIT
Should be Empty: