Donor Consent Form

Dear Donor, we are honoured to know that you were identified as a matching donor. We’d love to share your story to inspire others to register as potential donors. Please give your consent and provide some background information. We’ll send the draft to you for review and approval before publication.
Date of Birth
Please select
What were your biggest concerns and how did you overcome them?
0/2000
What's your message to the patient you donated for?
0/2000
Where/when did you register to become a donor?
0/2000
What do you remember about the day you went to donate?
0/2000
How did you get mentally ready for the donation?
0/2000
Did you know anything about stem cell donation and the need for donors beforehand?
Story consent
Photograph consent
Date signed
Required Fields