Campus Blood Center Appointment Request Form

The UC Irvine Campus Blood Donor Center is reopening in it's permanent location inside the Student Center on September 15, 2021.  We are excited to see you back in our home. The schedule will be as follows: 9/15 & 9/16, 9:30am-5pm. Beginning the week of 9/20, our hours will be Monday-Thursday, 9:30am-5pm.

For those of you who are not familiar with the location and are on campus, we are on Level 1 of the Student Center in room B106. (adjacent to the Courtyard and Courtyard Study Lounge) If you are coming from outside of campus, the Student Center is located at the corner of West Peltason and Pereira. Please park in the Student Center parking structure located on that corner. You will be entering the structure on the 2nd floor. You do not stop at the booth to speak with attendant, just continue into the structure. You will need to go up at least one floor to park. Only park in unmarked spaces between levels 3 and 6. Please take a photo of your license plate if you don't know it. The Student Center is directly across the street from the parking structure. Enter through the glass doors and head straight back. You will see a large electronic sign that directs you to go left to the Blood Donor Center. Once you turn left you will wind your way through the student center following the directional signs on the walls. Enter through the double doors that say Blood donor center, pass by the vending machines and you will see the donor center immediately on your left. If you need a parking permit, please let our staff know right away once you are inside the donor center. We will use your license plate number to create a virtual permit for you.

Because we are considered a patient care area, all staff & donors are required to wear masks. Please read the important COVID-19 information below and do not make an appointment if any apply to you, 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

IMPORTANT COVID-19 INFORMATION: Please not that if you have had any of the following symptoms in the last 14 days you will not be able to donate-  Fever, chills, muscle aches, cough, shortness of breath, unexpected fatigue, sore throat, loss of taste or smell, headache, diarrhea, vomiting or nausea. Please read the following deferrals related to COVID-19 before making an appointment.  1) if you are living with someone or had exposure to someone with Covid, you must wait 14 days and be totally symptom free during that time. 2) If you had Covid, you will need to be symptom free for 14 days prior to donating 3) if you received the Pfizer, Moderna or J & J Covid vaccines, there is no deferral. If you received any other COVID vaccines or were part of a study which required you to receive another Covid vaccine, you must wait 1 year to donate or until that vaccine has received approval in the U.S.                                                                                

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 UCI Campus Blood Donor Center. If you have any questions or would prefer to make your appointment over the phone, please contact us at 949-824-2662 or at ibleedblue@uci.edu

 
Fields with * are required.
 
 
CURRENT HOURS
 
Day   Open
Monday    9:30 AM to 5:00 PM
Tuesday    9:30:00 AM to 5 PM
Wednesday    9:30 PM to 5:00 PM
Thursday    9:30 AM to 5:00 PM
Friday    CLOSED
Saturday    CLOSED
Sunday    CLOSED

 
 
YOUR INFORMATION  - PLEASE ENTER YOUR LEGAL NAME
 
First Name:*
 
Nick Name:
 
Middle Name / Middle Initial:
 
Last Name:*
 
Date of Birth:*
/ / Format: (mm/dd/yyyy)     
 
Suffix:
 
Gender:*
 
Email:*
 
Confirm Email:*
 
Preferred Phone:*
 
Phone:*
 
Need a parking pass:
*If you require a parking permit, please provide your license plate number and state or VIN ( if no license plates). If you do not currently have access to this information, please take a photo of your license plate or VIN once you park and bring it to the donor center.
 
APPOINTMENT INFORMATION
I understand that I have the option of a free COVID-19 antibody test when I donate blood or platelets. The antibody test DOES NOT diagnose a current COVID-19 infection. It may determine if you were previously infected with the virus.
 
I have had one or more of the following symptoms in the last 14 days: fever, chills, muscle aches, cough, shortness of breath, unexpected fatigue, sore throat, loss of taste or smell, headache, diarrhea, vomiting or nausea
 
I have been exposed to someone who tested positive for COVID-19 or is suspected to have COVID-19 in the past 14 days.
 
Blood Type:
 
Appointment Type:*
 
Appointment Date:*
Format: (mm/dd/yyyy)
 
Appointment Time:*
You must first enter an appointment type and date to select a time.
 
What made you schedule an appointment today?: