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Blood Donation Service  >  Online Blood Donation Registration
Online Blood Donation Registration

Please enter your information for blood donation registration(“*”Mandatory fields are indicated with a red triangle)

Business & Service Professional at Gaming Industry 
Civil Servant Professional & Technician
Secondary Student Uni Student
Housewife  Industrial
Association/Religious organization Self-employed
Others
Online MBTS website (excluding 1st time donor)
At the Blood Centre
I do not require my report
By post

Male   Female
Macau ID
H.K. ID
Work Permit
Mainland ID
Passport: country of issue
Other document
Chinese
Macanese  
Caucasian
Filipino
Nepalese
Thai
Singaporean
Indonesian
Malaysian
Japanese
Korean
Burmese
Indian
Other:

Please answer the questionnaire below(“*”Mandatory fields are indicated with a red triangle)

BLOOD DONOR HISTORY QUESTIONNAIRES

During the early stage of infection, laboratory tests may not be able to detect infectious agents. For this reason, the safety of blood cannot depend entirely on laboratory tests. In order to help us provide safe blood and blood components to patients, please answer the following questions truthfully. Thank you!

Have you read and understood the leaflets “IMPORTANT INFORMATION FOR BLOOD DONORS” and “WHO SHOULD NOT GIVE BLOOD”?   Yes No
Do you belong to any group of people who should not give blood mentioned in the leaflet “WHO SHOULD NOT GIVE BLOOD”?   Yes No
YOUR CURRENT CONDITION
Did you sleep well last night?   Yes No
Are you currently undergoing medical treatment or waiting for test results?   Yes No
After blood donation, are you going to take part in any vigorous activities or work at hazardous depths or heights today?   Yes No
HAVE YOU EVER
Have you ever been deferred as a blood donor or told not to donate blood?   Yes No
Have you had any dental procedure in the past week?   Yes No
Have you had fever, cough, headache, or diarrhea in the past 10 days?   Yes No
Have you ever been in close contact with any individual who suffers from infectious disease such as smallpox, German measles (rubella), pulmonary T.B. in the last 4 weeks?   Yes No
Have you had any vaccination in the past 8 weeks?   Yes No
Have you had a tattoo, acupuncture, ear or skin piercing in the past 4 months?   Yes No
Have you had any endoscopic examination, blood transfusion or surgery in the past 12 months?   Yes No
Have you been injected with rabies vaccine or HBV immunoglobulin in the past 12 months?   Yes No
Have you travelled outside Macau in the past 12 months? If so, did you have any discomfort such as fever, diarrhea, weight loss, etc, after returning to Macau?   Yes No
Have you taken any medication to prevent AIDS, medication includes (PrEP) and/ or (PEP) in the past 12 months?   Yes No
Have you been treated with any medication for acne or psoriasis in the past 3 years?   Yes No
Have you ever had any of the following symptoms or diseases?Please check   Yes No
 
Chest pain Hypertension Cardiac disease
Epilepsy Diabetes mellitus Pulmonary disease
Cancer Stroke Bleeding disorder
Other
     
Have you ever received organ or tissue transplant?   Yes No
Have you ever been informed as G6PD deficient?   Yes No
Have you been living in Macau for less than 3 years?
Previous country of residence
  Yes No
Have you suffered from infectious disease such as dengue fever, malaria,Chagas Disease, West Nile Disease or SARS?   Yes No
Did you feel unwell or find a bruise around the venepuncture site after the last donation? (for individuals who had given blood before)   Yes No
Are you pregnant?   Yes No
Have you given birth/ had abortion in the past 6 months?   Yes No

Declaration
1. I have read, understood, and agree with the contents contained in the leaflets “IMPORTANT INFORMATION FOR BLOOD DONORS” and “WHO SHOULD NOT GIVE BLOOD”.
2. I declare that all the information I have provided is truthful and accurate. I acknowledge that inaccurate information may lead to hazardous consequence to patients.
3. I agree that laboratory tests may be performed on my blood sample.
4. I understand and agree that the blood I donated will be used for clinical blood transfusion purposes, and it may also be used for quality control, diagnosis and research.

Declaration for the collection of personal information:

  • The purposes of collecting the above information are for MBTS to evaluate your eligibility to donate blood and safeguard the safety of the recipients.
  • Your personal information will be kept confidential and protected in accordance to the “Personal Data Protection Act” (Law no. 8/2005). You have the right to check, change or update your personal information at MBTS according to section 11 of the “Personal Data Protection Act”.
  • Blood donors must be clear that if you know that you are a carrier of transfusion transmissible infectious disease/s and do not fill this questionnaire truthfully and any individual/s becomes infected with disease transmitted through your blood donation, you are liable to be charged under the Penal Code.
  • The personal information provided by blood donors will be kept strictly confidential unless required by law or the court of law.