You can request Plasma if:

1. A patient positive for COVID-19 has been prescribed for Plasma by the attending doctor.

Please note that filling the form does not guarantee that the request will be fulfilled. The Information collected in the form will be shared with volunteer teams who will work and attempt to meet your requirements.

Fill up the form to register with us as a Plasma recipient:

By submitting this form,

I confirm that the information I have provided in here is complete and accurate to the best of my knowledge.

I authorize to display my details that I have provided to the person who is willing to donate Plasma.