OSU Convalescent Plasma Donation Sign Up

Have you been diagnosed with COVID-19 and recovered? You could be eligible to donate convalescent plasma at OSU's convalescent plasma drive with Oklahoma Blood Institute, being held from 10 am - 4 pm daily, Nov. 9-13 outside Student Life on the 2nd floor of the Student Union. Complete the form below to pre-register to donate.

First Name*

Middle Name (if applicable)

Last Name*

Date of Birth*

Email Address*

Phone Number*

Gender*

Female

Male

Have you ever been pregnant?*

When pregnant, some women produce an antibody in their plasma that may make it unsuitable for transfusion. Additional testing can help determine if you will be eligible to donate.

Yes

Date of Last Pregnancy*

Date of Last COVID Symptoms*

If you tested positive, but experienced no symptoms, please use the date your test was administered.

COVID-19 Test Results

If you have your results, please upload them here.

Drag and drop files here or

Consent to Release COVID-19 Test Result

By checking the box below, I authorize University Health Services to release my COVID-19 test result to Oklahoma Blood Institute, to help pre-qualify me for plasma donation.

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