Physician Services
Thank you for your continued interest in using LifeStream’s blood services. We appreciate our partnership with you and look forward to continuing our service to you.
One exciting new option for qualified autologous donors is the availability of automated collection of two red blood cells during just one visit to LifeStream. Please review these options carefully.
Each request for autologous or directed blood donation service must be ordered using the form entitled: Request for Autologous and Directed Donor Blood Components. For donors requiring more than one donation prior to surgery, a single form is adequate.
Note: Previously arranged “standing orders” with LifeStream will no longer be utilized to schedule procedures.
Please see the below links to help you with this process:
- Autologous Donation Protocol – a step by step guide
- Directed Donation Protocol – a step by step guide
- Request for Autologous and/or Directed Donor Blood Components form
- Approximate Risks per Unit of Transfused Allogeneic Blood Products
- A Patient’s Guide to Blood Transfusions (Paul Gann Memorial Blood Act brochure)
(En Espanol) - Blood Transfusion Options for Patients (brochure)
(En Espanol) - Introducing Automated Blood Collection (brochure)
- Eat Right for Healthy Blood (brochure)
(En Espanol) - Blood Donation for Hemochromatosis Patients
(En Espanol) - LifeStream Contact / Location Card
- Brochure Order Form – original copies of brochure
If you have questions concerning Autologous or Directed Donation Protocol, please feel free to contact Kathryn Spencer, our Special Services Supervisor, at 909.885.6503 extension 310, or kspencer@LStream.org. Or contact Diane Eklund, M.D. at 909.386.6815 or deklund@LStream.org.
Forms with an authorized* signature can be sent or faxed to:
Special Services
LifeStream
P.O. Box 5729
San Bernardino, CA 92412-5729
Fax: 909.381.5183
*Authorized signatures should be listed on your official letterhead with names of every person permitted to sign the requests and with a sample of how they will sign the form.
