2 minutes
A blood transfusion consent form needs to be filled by individuals who wish to donate blood. There is a specific requirement for the age of the donor, and the donor should not suffer from any medical condition that may make the donation of blood an unsuitable option for him/her.
Patient Name
Patient Contact number
Emergency Contact details
Doctor's Name
Patient Medical ID number
Do you consent to a blood transfusion?
I hereby consent to the transfusion of any type of blood or blood component that the medical staff deems necessary. I understand that there are risks associated with transfusions, including allergic reactions, transmission of disease, and other complications. I understand that I have the right to refuse transfusion, and that I may withdraw my consent at any time.
Patient Signature
Date