Blood Donor Program

Canine Blood Donor Application

Owner information

Canine Donor Information:

Sex:

Spayed/Neutered?

Is your dog currently on heart worm prevention?

Has your dog had any health problems (including chronic and non-ongoing issues)?

Is your dog currently on any medications (including supplements and nutraceuticals)?

Has your dog ever received a blood or plasma transfusion?

Has your dog ever been pregnant?

Do you travel with your dog?

Are you comfortable with a 3 inch area of hair being clipped from your dog's neck?

A vaccine certificate and medical records from your family veterinarian will be required prior to the first blood donation.

I hereby give, to London Regional Veterinary Emergency and Referral Hospital, authorization to contact my family veterinarian for copies of my pet's medical records.

Your application will be reviewed by one of our blood donor technicians, and if your pet meets the required criteria we will call you to set up an appointment to meet your dog, perform a physical exam with a veterinarian and check your dog's blood type.

There is no charge for this visit. Thank you for your interest in having your dog join our Canine Blood Donor Program! Please contact the Blood Donor Program Team at donateblood@londonregionalvet.com or 519-432-3300 with any questions.

The greatness of a nation can be judged by the
way its animals are treated

Mahatma Gandhi