Client Forms

Client Handbook

Therapeutic Phlebotomy Form

Request for Autologous Donation

Non-returnable product form

Unacceptable product return form

Transfusion-related acute lung injury (TRALI) report form

Adverse transfusion event form

Client feedback form

Hospital to Marsh transfer form

Hospital to Hospital transfer form

Blood Bank Consult Request

Directed Blood Donation Form

Licensures and Certifications:

Tennessee Department of Health: Licensed to conduct and maintain a Medical Laboratory in the Specialties of PH, Bacteriology (limited), hematology, ABO Group & RH type, and compatibility testing.

Centers for Medicare and Medicaid Services Clinical Laboratory Improvement Amendments: Lab certifications in bacteriology, routine chemistry, hematology, ABO & RH group, and compatibility testing.

AABB: Certificate for Donor Center Activities

FDA: Blood Establishment Registration and Product Listing for Manufacturers of Blood Products and Licensed Devices