LifeStream is proud to offer the following services:
- Autologous donation
- Dendreon collection
- Directed donation
- Granulocyte collection
- Therapeutic collection
Requests for autologous or directed blood donations and therapeutic collections must be ordered using the applicable forms below.
For questions regarding our services, please contact a Medical Services Coordinator at 877.386.6874 or 909.885.6503 (ext. 664) or via email at MedicalServices@LStream.org.
Autologous Acceptability Criteria
Autologous Donation Protocol – a step by step guide
Request for Autologous Donor Blood Components
Directed Donation Protocol – a step by step guide
Request for Directed Donor Blood Components form
Approximate Risks per Unit of Transfused Allogeneic Blood Products
Therapeutic Phlebotomy Prescription Form
Please fax completed forms to:
Additional Educational Materials
LifeStream offers a variety of education brochures – available for physicians – if you wish to receive copies of the brochures please place your order below.
Note: The signature of the ordering MD/DO, NP, or PA is required. Requests with the practitioner’s name signed or initialed by another individual or “stamped” signatures will be returned for an authorized signature.