Anaheim Ducks APPOINTMENT REQUEST FORM

UCI Health and the Anaheim Ducks are partnering for a life-saving blood drive on Thursday, January 9, 2025 from 9am to 3pm. The UCI Health Blood Mobile will be at the front entrance.  From Katella, turn on South Douglas, the blood mobile will be in the first parking lot in Lot 2 on the right side of the Honda Center.

This blood drive will help to increase the supply for patients at UCI Health, Orange County’s only Level I Trauma Center during this extremely challenging time to collect blood.

All donors will receive their choice of a $10 gift card from Target, In-N-Out or Starbucks, Bobblehead (while supplies last) and all donors will also be entered into a drawing an autographed Anaheim Duck hockey puck and special bonus drawing for Holiday Gift Basket.

In addition, we recommend reading the basic donation requirements prior to making your appointment. You can find them here: http://www.ucihealth.org/medical-services/blood-donations

Please note that for safety reasons, we are unable to allow children on the bloodmobile. Please do not bring young children who cannot wait outside the bloodmobile unsupervised for 30 minutes or more.

Due to COVID-19, extra precautions will be taken for your safety as well as the safety of our staff. Please read the important COVID-19 information below and do not make an appointment if any apply to you.

              You have or recently experienced any of the following symptoms: fever, chills, muscle aches, cough, shortness of breath, unexpected fatigue, sore throat, loss of taste or smell, headache, diarrhea, vomiting or nausea.

              You have been diagnosed with or suspected of having COVID-19 in the past 14 days.

              You have lived with someone who has been diagnosed with or suspected of having COVID-19 in the past 14 days.

If you have recently received the COVID-19 vaccine from Pfizer, Moderna or Novavax, there is no deferral unless you are currently experiencing side effects. If you were a part of a study and received an experimental COVID-19 vaccine other than Pfizer, Moderna or Novavax, you must wait 1 year before donating blood.

Please complete and submit this online donor form. Appointments are currently available for the time selections shown.

Thank you for volunteering to donate and we look forward to seeing you at the Anaheim Ducks Blood Drive.  

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Verify Eligibility

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Eligibility is determined based on age. If user is a minor it then determines eligibility based on gender, height and weight.
 
Gender:*
 
Date of Birth:*
Format: (mm/dd/yyyy) and must be 16 at time of donation.