Recipient Overview

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Patient patient@email.com

Your blood request hub

Submit a request, follow its progress, or explore donors on the community map.

Blood requests

Create a request or check your existing requests.

Community donor map

Explore eligible donors by blood type and area.

Optional · Use your existing account

Want to become a donor?

Add a donor profile to your existing account. You can still request blood. Registration does not confirm donation eligibility.

Eligibility

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Checking status

Availability

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Your current setting

Last donation

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Recorded donation

Next eligible

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Based on the 3-month recovery period

Donor Profile

Registered

Donor Donor ID --

Allow map visibility Show your approximate area when medically screened, location verified, and the donation waiting period is complete.

Contact Number Consent

Choose whether to share your contact number on the donor map. If unchecked, only your blood type and approximate location will be shown.

I consent to displaying my contact number on the donor map. I understand that anyone with access to the map can view it.

My Donation History

0 recorded

Blood needed?

My Blood Requests

Personal Information

Patient

patient@email.com

Google shared your name and email. Use Edit Profile to add your other details.

Donor ID --

Username

Phone No. -

Emergency Contact No. -

Gender -

Address -

Member Since -

Blood Info

You can receive blood from

You can donate to

Campaign Calendar

Create Blood Request

Tell the blood bank what is needed. An authorized admin will privately review the request and coordinate the appropriate blood supply. Fields marked * are required.

1. Blood requirements

Blood type *

Units needed *

Urgency *

When is it needed? Optional

2. Hospital & request details

Hospital / donation location *

Hospital reference number *

Reason for request * Avoid including private patient information in this description.

3. Verification support Optional

These private details help the blood bank verify and process your request.

Facility contact number Optional

Supporting documents Optional Attach supporting documents Attach up to 5 files (JPG, PNG, PDF · 20 MB max each)

Attach up to five supporting documents, such as hospital request forms, referrals, or replacement slips. JPG, PNG, or PDF only; up to 20 MB per file. Only you and authorized coordinators can view them.

Your request is sent privately to the blood bank admin. It is not published as a community request.

Edit Blood Request

Blood Type Needed *

Units Needed *

Urgency *

Donation Point / Hospital

Time & Date Needed

Description / Reason for Request *

Delete Blood Request

Delete this request?

This permanently removes the request and cannot be undone.

Confirm Blood Received

Has the patient received the blood needed for this request?

Blood Request Details

Unsuccessful Donor Pledge

Mark this pledge unsuccessful?

Use this when the donor did not arrive or could not complete the donation. The pledge will be released and the request will remain available. This does not create donation history or medically defer the donor.

Admin note

Blood drive details

Edit Profile

Profile picture Choose a photo or take one with your camera.

First Name *

Middle Name

Last Name *

Blood Type

Gender

Phone No.

Emergency Contact No.

Province

City / Municipality

Barangay

Optional username and password sign-in

You can keep using Google. Set these only if you also want to sign in with a username and password.