BLOOD and BLOOD PRODUCT ORDER FORM
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THIS PAGE PRESENTS A COPY OF A BLOOD BANK BLOOD ORDER/REQUISITION FORM WHICH MUST BE SIGNED BEFORE BEGINNING SURGERY.

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The form presented here is the Blood Bank Order form. It is used by an attending physician to order (requisition) Blood products to be made available for use in a surgical procedure, on the date stated on the form. The analysis of this form gives a glimpse of just how well controlled the valuable resource of Blood actually is. This form, or one similar to it, is fully completed before or during every surgery anticipating the need for Blood. No Blood moves without a form similar to this one.


Presented here is a very small version of a typical Blood Bank Order form (17 KB). Please click on the image to view a near actual size image which can easily be read. The larger image will take a while to load with a modem, since it is 72 KB period-red.gif (63 bytes)

Blood and Blood Product Order Form - BloodBook.com!

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   last updated 11/10/2004   bloodbook.com