---
title: Blood Donation Eligibility & Age Verification Form Template | Paperform
description: Streamline blood donor screening with this comprehensive eligibility form template. Verify age, assess health conditions, and capture donor history for safe blood donation programs.
url: "https://paperform.co/templates/blood-donation-eligibility-age-verification-form"
type: static
generatedAt: "2026-03-28T00:43:10.707Z"
---

[← Back to free form templates](/templates/)    ![Blood Donation Eligibility & Age Verification Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/blood-donation-eligibility-age-verification-form.png)
    [Preview](https://_preview.paperform.co/ai-template/blood-donation-eligibility-age-verification-form) [Use this template for free](/create?ai-template=blood-donation-eligibility-age-verification-form)    [Verification & Validation Forms](/templates/category/verification/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Nonprofit](/templates/industry/nonprofit/) [Nurse](/templates/role/nurse/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Nonprofit Director](/templates/role/nonprofit-director/)     About this free form template
### Blood Donation Eligibility & Age Verification Form

Organizing a blood drive or managing a blood donation center requires careful screening of potential donors. This **Blood Donation Eligibility & Age Verification Form** helps healthcare providers, nonprofit organizations, hospitals, and community blood banks quickly assess whether potential donors meet the necessary age, health, and eligibility requirements.

Blood donation is a critical service that saves lives, but ensuring donor safety and recipient safety is paramount. This form template combines **age verification, health screening questions, and donor history** into one streamlined process, helping you maintain compliance with blood donation guidelines while providing a smooth experience for generous donors.

#### Who should use this form?

This template is perfect for:

 - **Blood banks and donation centers** screening walk-in and appointment donors
 - **Hospital blood services** managing their donor programs
 - **Nonprofit organizations** running community blood drives
 - **Healthcare facilities** coordinating corporate or school donation events
 - **Red Cross chapters and similar organizations** ensuring safe donation practices

#### What makes this form effective?

The form guides potential donors through a logical sequence: first confirming they meet basic age and weight requirements, then gathering essential contact and demographic information, followed by a comprehensive health questionnaire covering recent travel, medications, medical conditions, and lifestyle factors that may affect eligibility.

By using **conditional logic**, the form can provide immediate feedback when a donor doesn't meet certain criteria, saving time for both staff and donors. The organized structure ensures no critical screening questions are missed, while the professional design puts donors at ease during what can sometimes feel like an invasive process.

#### Streamline your workflow with automation

Once a donor submits their eligibility form, you can use [Stepper](https://stepper.io) to automate your follow-up process. Automatically send confirmation emails to eligible donors, schedule appointments, update your donor database in Airtable or Google Sheets, notify staff when someone is flagged for additional screening, or create reminder workflows for repeat donors. This keeps your team focused on the life-saving work rather than administrative tasks.

#### Secure, compliant, and customizable

Paperform is **SOC 2 Type II compliant** and takes data security seriously—critical when handling sensitive health information. You can customize the form to match your organization's branding, add your logo, adjust questions based on your specific screening protocols, and embed it directly into your website. Whether you're running a one-time community blood drive or managing ongoing donor programs, this template gives you a professional starting point that's ready to use in minutes.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Addiction Recovery Monitoring & Sobriety Tracker](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/addiction-recovery-monitoring-sobriety-tracker.png)

### Addiction Recovery Monitoring & Sobriety Tracker

Track sobriety milestones, identify relapse triggers, and monitor support group attendance for addiction recovery programs. A comprehensive check-in form for patients and counselors.](/templates/addiction-recovery-monitoring-sobriety-tracker/)
[![Egg Donor Application with Age Verification & Health Screening](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/egg-donor-application-with-age-verification-health-screening.png)

### Egg Donor Application with Age Verification & Health Screening

A comprehensive egg donor application form that verifies age eligibility, collects fertility and health information, conducts psychological screening, and captures legal acknowledgments for donor programs.](/templates/egg-donor-application-with-age-verification-health-screening/)
[![Free Health Screening Volunteer Phlebotomist Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/free-health-screening-volunteer-phlebotomist-application.png)

### Free Health Screening Volunteer Phlebotomist Application

A volunteer application form for certified phlebotomists interested in supporting free community health screenings at mobile clinics, with certification verification and availability tracking.](/templates/free-health-screening-volunteer-phlebotomist-application/)
[![IV Therapy Clinic Age Verification & Consultation Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/iv-therapy-clinic-age-verification-consultation-form.png)

### IV Therapy Clinic Age Verification & Consultation Form

A comprehensive age verification and consultation form for IV therapy clinics that screens patients, confirms medical eligibility, and obtains treatment consent for vitamin infusion services.](/templates/iv-therapy-clinic-age-verification-consultation-form/)
[![Maternal Mental Health Conference Registration Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/maternal-mental-health-conference-registration-form.png)

### Maternal Mental Health Conference Registration Form

A professional registration form designed for maternal mental health conferences, workshops, and training events. Capture provider credentials, specialization areas, and training interests to deliver a tailored conference experience.](/templates/maternal-mental-health-conference-registration-form/)
[![Medical Weight Loss Program Age Verification & Health Assessment](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-weight-loss-program-age-verification-health-assessment.png)

### Medical Weight Loss Program Age Verification & Health Assessment

A comprehensive age verification and health screening form for medical weight loss programs, including BMI calculation, health history assessment, and medication consent.](/templates/medical-weight-loss-program-age-verification-health-assessment/)
[![Perinatal Loss Doula Wellness Check Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/perinatal-loss-doula-wellness-check-form.png)

### Perinatal Loss Doula Wellness Check Form

A compassionate wellness check form for perinatal loss doulas providing stillbirth support, NICU vigil care, memory photography, and bereaved family follow-up services.](/templates/perinatal-loss-doula-wellness-check-form/)
[![Veterans Health Screening & Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/veterans-health-screening-assessment-form.png)

### Veterans Health Screening & Assessment Form

Comprehensive health screening form for veterans including military service history, combat exposure assessment, PTSD screening, VA benefits enrollment, and specialized care coordination needs.](/templates/veterans-health-screening-assessment-form/)
[![Adult Day Care Financing Calculator](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/adult-day-care-financing-calculator.png)

### Adult Day Care Financing Calculator

Calculate the cost of adult day care services with customizable rates, transportation options, and sliding scale fee eligibility assessment.](/templates/adult-day-care-financing-calculator/)
[![Adventure Therapy Program Emergency Contact Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/adventure-therapy-program-emergency-contact-form.png)

### Adventure Therapy Program Emergency Contact Form

Comprehensive emergency contact and participant information form for adventure therapy programs, capturing outdoor experience, medical clearance, risk assessment, and group dynamics history for challenge-based therapeutic activities.](/templates/adventure-therapy-program-emergency-contact-form/)
[![Atrial Fibrillation Screening & Stroke Risk Assessment](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/atrial-fibrillation-screening-stroke-risk-assessment.png)

### Atrial Fibrillation Screening & Stroke Risk Assessment

Comprehensive AFib screening form for high-risk patients including pulse assessment, ECG ordering, CHA₂DS₂-VASc stroke risk calculation, and cardiology consultation scheduling.](/templates/atrial-fibrillation-screening-stroke-risk-assessment/)
[![Autism Therapy Conference Presenter Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/autism-therapy-conference-presenter-application.png)

### Autism Therapy Conference Presenter Application

A comprehensive application form for therapists, researchers, and practitioners to submit presentation proposals for an autism therapy conference focused on early intervention, social skills, family support, and evidence-based practices.](/templates/autism-therapy-conference-presenter-application/)