Hospital Resources
These commonly requested forms, instructions, and additional resources are provided online
for the convenience of American Red Cross hospital partners in the Arizona Blood Services Region.
Select the section or plus symbol below to view content.
Forms
- Fax Inventory and Order Sheet (07/26/12)
- Immunohematology Consultation Request (v1.0)
- Possible Recipient Complication - Infectious Disease Report (v1.0)
- Possible Recipient Complication - Transfusion Reaction Report (v1.0)
- Request for HLA / Special Platelet Products (v02/05)
- Request for Molecular Testing (v1.0)
- Request for Special Blood (v1.0)
- Special Collection Order (v1.0)
- Therapeutic Phlebotomy Order and Instructions (v1.0)
- Transfer Notification Form (12/04)
- Urgent Release of Test Results (v1.0)
Instructions
- Autologous and Directed (5829.012210)
- Packing 1 to 12 Red Blood Cells Using the E-120ARC Shipping Container (21.3.032 v1.2)
- Packing 13 to 27 Red Blood Cells Using the E-120ARC Shipping Container (21.3.034 v1.0)
- Packing Cryoprecipitate Using the E-54ARC Shipping Container (21.3.037 v1.0)
- Packing Cryoprecipitate Using the E-120ARC Shipping Container (21.3.038 v1.2)
- Packing Platelets, Apheresis Platelets, Granulocytes, or Granulocytes-Platelets Using the E-38XW Shipping Container (21.3.039 v1.0)
Contacts
Red Cross Representatives are available 7 days a week, 24 hours a day
(including weekends and holidays) to meet your hospital's needs.
Please contact us to place an order.
Tucson, AZ
Phone: 520-230-7344 or
1-888-819-5061
Fax: 520-889-0777
Phoenix, AZ
Phone 602-728-9650
Fax 602-728-9651
Certifications & Licenses
- FDA Site Registration and Product Listing – Tucson, Universal Way (12/12)
- FDA Site Registration and Product Listing – Tucson, Broadway (12/12)
- FDA Site Registration and Product Listing – Tucson, Foothills Mall (12/12)
- FDA Site Registration and Product Listing – Phoenix (12/11)
- FDA Site Registration and Product Listing (Stem Cells) – UAMC (12/12)
- FDA Site Registration and Product Listing (Stem Cells) – Broadway (12/12)
- AABB Accreditation (Stem Cells) – Arizona (07/1/12 - 06/30/13)
- AABB Accreditation (IRL) – Pomona (10/12 - 09/13)
- AABB Conditional Status – Arizona (07/11/11)
- CLIA Certification – Arizona (07/27/11 - 07/26/13)
- CLIA Certification – Charlotte, NC (10/23/12 - 10/22/14)
- CLIA Certification – Pomona, CA (10/23/12 - 10/22/14)
- CLIA Certification – Portland, OR (01/01/12 - 12/31/13)
- Memorandum of Insurance (07/01/12 - 07/01/13)
- Quarterly Notice of HR Compliance (2013 Q1)
- Quarterly Product Quality Control Data (1/13 - 3/13)
