ROBI Confidential Donor Medical History and DONOR ID
Was that person sick from the virus during that time, such as having abdominal pain, joint pain, exhaustion, fever, nausea, vomiting, diarrhea, or yellowing of the eyes or skin? No. Yes. 11. In the past. 12 months. did you/she* come into contact with someone else’s blood? No. Yes . 11a. Describe what happened and when: ................
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