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Self-exclusion of a Blood Donor

Dear donors,

It may possibly happen that after your medical examination at the Transfusion and Tissue Department of the University Hospital in Brno you realize that you forgot to tell us important information related to your health and/or your habits or an acute change of your health condition occurred within several hours through days after the examination.

In case of such situation please fill out immediately this form. Your additional notification may be important for safety of a patient who is going to be treated using the blood (transfusion) products made of your blood.

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