Campus Blood Center Appointment Request Form

THE UCI CAMPUS BLOOD DONOR CENTER WILL BE CLOSED ON Tuesday, 11/14 but you can still donate on campus! The UCI Bloodmobile will be parked in Mesa Court from 11am-4pm. Look for the bloodmobile near the Mesa Court towers. p>

Thank you for your interest in donating blood or platelets at the UC Irvine Campus Blood Donor Center. The donor center is located in the Student Center on the UC Irvine campus, on level 1, room B106. Once you make your appointment you will receive very specific directions as well as parking information (you will receive a free parking permit for the Student center parking structure which is directly across from the Student Center.

Please complete the online form below to make an appointment to donate blood or platelets. If you have never donated platelets before, we would prefer that you read about the donation process first to make sure you understand the procedure and the time commitment. View more information on who can donate »

If you have any questions or would prefer to make your appointment over the phone, please contact us at 949.824.2662 or ibleedblue@uci.edu

 
Fields with * are required.
 
 
CURRENT HOURS
 
Day   Open
Monday    10am-5pm
Tuesday    10am-5pm
Wednesday    12pm-7pm
Thursday    12pm-7pm
Friday    9am-4pm
 
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:*
 
Your Location:
*If you are not located on UC Irvine Campus, a parking permit will be provided to you.
 
APPOINTMENT INFORMATION
 
Organization or Club:
 
Blood Type:
 
Appointment Type:*
 
Appointment Date:*
Format: (mm/dd/yyyy)
 
Appointment Time:*