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Autologous Donations


An autologous blood donation is a process where you can give blood for yourself to be used during a scheduled surgical procedure.

  • Your own blood is the safest blood for transfusion. It decreases the incidence of reactions and infections.
  • An autologous donation must be prescribed by a physician. Your surgeon must send a written request to the Blood Center’s Special Clinical Services Department.
  • Certain underlying medical conditions may require documentation from your primary care physician. This will be determined when you call for your appointment.
  • Your hemoglobin (iron level) must be 11.0 or higher to donate blood for yourself. It is recommended that an iron supplement be prescribed by your physician prior to participation in the program to prevent a mild anemia.
  • Autologous blood donations may be made a week apart and not less than 1 week before a scheduled surgery.
  • All autologous blood is specially labeled to ensure that you receive your own blood

Autologous donors must schedule appointments. Please call the Blood Center, Monday through Friday, 7:30 a.m. to 3:30 p.m. and ask for the Special Clinical Services Department at (201) 444-3900.

The federal Food and Drug Administration (FDA) and the State of New Jersey require a written request for an autologous donation.


Instructions:

To get a copy of our “Physician Order Form For Autologous Blood Collection” click on the link below. The form is not valid unless there is a physician's signature on it - a stamped signature will NOT be accepted. Please print the form, complete all information and sign it.

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