Frequently Used Forms

• Blood Management Service Consultation/Referral Form
• Blood Management Service Obstetrical Consult/Referral Form
• A completed Transfusion Reaction Investigation Form – CM105 (Stocked on hospital unit)
• Canadian Blood Services Test Request Forms: https://www.blood.ca/en/requisitions-and-forms. Please note this general link will provide access to the most up-to-date versions of each form.
  • TRALI Patient Data Form ( Print and send) (2021-08-26)
  • Platelet Immunology Laboratory Form ( Fillable form – print and send) (2020-10-05)
• F160-INV-34 Request for Release of Red Cells
• F160-INV-33 Request for Release of Blood Components/Product
• F160-INV-16B Request for Prothrombin Complex Concentrates (PCC)