Penn-Jersey Blood Services Region Request Forms

Hospital customers may download any of the following forms: (Forms require Adobe Acrobat)

Blood Products

We provide hospitals in New Jersey, southeastern Pennsylvania and Delaware with lifesaving blood products 24 hours a day, 365 days a year. Our reference laboratories for red cell and platelet serology help blood centers and hospitals resolve difficult serologic problems, and locate and ship rare blood products for transfusion. We are also there when patients need special products like granulocytes and HLA-matched platelets. Physicians and technical experts are available for consultation around the clock.

Our more than 700 employees are dedicated to meeting all patient needs with a reliable blood supply that is as safe as possible.

In times when our local collection is disrupted by weather and other circumstances, our national inventory management system allows us to access precious blood resources in other parts of the country.
To order products and services call the Customer Service Department at (215) 451-4111 or fax the order form to (215) 451-2585.
For more information on our reference laboratory services, call (215) 451-4176. For technical information on our blood products, call Susan Wilson, Technical Support, at (215) 451-4115.

Product Request Forms available include:

Testing Services

At the Red Cross, we are dedicated to providing physicians with the best blood products possible for their patients. Blood is tested for infectious diseases and blood type. We help physicians locate compatible blood products for their patients.
Through its patient testing services like the Penn-Jersey Immunohematology Reference Laboratory and Platelet Serology Laboratory, the National Reference Laboratory, and the HLA/Molecular Genetics Laboratory, Red Cross helps physicians resolve complex serological problems and identify rare blood. We help resolve blood typing issues so they can transfuse their patients safely.
Test Request Forms available Include: