Please review and answer these questions to help ensure the safety of the
community blood supply and help your donation process be more efficient.
If you answer yes to any of these questions on the day you present to donate, you will not be eligible to donate at that time.
1. Do you weigh less than 110 pounds or more than 350 pounds?
3. Are you ill or not feeling well today?
4. Are you taking antibiotics today for an active infection?
5. Have you taken Accutane, Proscar or Propecia in the last month?
6. Have you taken Coumadin/warfarin in the last 7 days?
7. Have you received a tattoo or a piercing that was not performed in a
8. Have you ever been diagnosed with lymphoma and/or leukemia?
9. Are you currently receiving treatment for a diagnosis of cancer?
a. If yes, is the treatment for cancer other than - basal cell,
squamous cell skin cancer or carcinoma in situ (any size)?
10. In the past 12 months, have you traveled outside the U.S. or Canada?
a. If yes, did you travel to any of the countries or cities listed on the table?
This table includes common malarial areas, but is not an all-inclusive list. If you have travel questions, please contact Bonfils’ Donor Relations department. Afghanistan Sao Tome & Principe Islands Ciudad Obregon Copper Canyon Sierra Leone El Fuerte Honduras Huatulco Los Mochis Any area outside Nuevo Vallarta Benin (Dahomey) San Pedro Sula or Tegucigalpa Burkina Faso (including the Bay Islands) Punta de Mita Zimbabwe Punta Mitla Cameroon Salina Cruz Central African Republic Sayulita Comoros Islands Congo Any area outside Cote d’Ivorie (Ivory Coast) Rangoon or Mandalay Indonesia Nicaragua Democratic Republic of Congo Djibouti Any area outside Managua Equatorial Guinea Columbia Any area outside Bogota or Cartegena Guinea-Bissau Costa Rica Ivory Coast Philippines Madagascar Kingston Any area outside Manila Dominican Republic Malaysia Mozambique
If you have any questions you may contact Bonfils’ Donor Relations department at 303.363.2202 in the Denver Metro area or 800.365.0006, option 1 outside of the Denver Metro area or ask a Bonfils staff member at the drive.
These questions are used for pre-screening purposes only. Even if you answered no to all of these questions at the time of pre-screening, you may be ineligible to donate based on the answers given during the questionnaire and interview process completed just prior to the actual donation. www.bonfils.org
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