Request an Appointment
|
|
| Fill out the information and click on the "Request Appointment" link at the bottom of the form to schedule a donation at one of our donor centers, or call 405-271-3041 or toll-free at 1-866-341-8728, to speak in person with someone in the scheduling office. |
| * Denotes the field is required |
| First Name:* | |
| Last Name:* | |
| Home Phone: | |
| Work Phone: | |
| Email: | |
| Preferred Location:* |
|
|
|
Preferred Date:*
(month/day/year - must use 4 digit year) |
 |
Preferred Time:
|
|
| Donation Type:?* |
|
| How would you like to be contacted?* |
|
| Are you a Members for Life Member? | Yes No |
| Note: This is a request to schedule a donation. An official Oklahoma Blood Institute representative will contact you to complete the appointment. Please note that appointments requested after normal hours will be processed the following business day. |
| |
| Request Appointment |
